Individual
JOHN ANTHONY MASCARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
65-1231 OPELO RD STE 4, KAMUELA, HI 96743-8376
(808) 989-1503
(808) 356-0200
Mailing address
PO BOX 384646, WAIKOLOA, HI 96738-4646
(808) 226-7576
(808) 356-0200
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT-199
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
790172
—
HI
Enumeration date
08/18/2008
Last updated
02/11/2022
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