Individual
MARK G WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 KANOA ST, HILO, HI 96720-2426
(808) 430-3111
Mailing address
15 KANOA ST, HILO, HI 96720-2426
(808) 430-3111
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
496
HI
Other
Enumeration date
10/18/2010
Last updated
01/07/2022
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