Individual
MARK MATSUSHITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
(808) 655-8829
(808) 655-8983
Mailing address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
(808) 655-8828
(808) 655-8983
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT-243
HI
Other
Enumeration date
05/12/2010
Last updated
02/20/2019
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