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Individual

MR. MARK M TAKAOKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A., LMFTA

Contact information

Practice address
32650 SR 20 SUITE 203, OAK HARBOR, WA 98277
(360) 682-6499
(360) 682-4696
Mailing address
36250 SR 20, SUITE 203, OAK HARBOR, WA 98277-0569
(360) 682-6499
(360) 682-4696

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
MG60573141
WA
106H00000X
Marriage & Family Therapist
Primary
MG60573141
WA

Other

Enumeration date
01/29/2014
Last updated
07/21/2022
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