Individual
DR. JOHN G SOUZA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT, DMFT
Contact information
Practice address
234 WAIANUENUE AVE STE 218, HILO, HI 96720-2418
(808) 657-5507
Mailing address
54 KAIKUONO ST, HILO, HI 96720-1730
(808) 657-5507
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
2252
MN
106H00000X
Marriage & Family Therapist
Primary
MFT-397
HI
Other
Enumeration date
03/01/2011
Last updated
04/10/2020
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