Individual
DOMINIQUE POZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, LMT
Contact information
Practice address
16 BALDWIN AVE, PAIA, HI 96779
(808) 280-5203
Mailing address
830 W KUIAHA RD, HAIKU, HI 96708-5636
(808) 280-5203
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CTB-2023-0094
NM
101YM0800X
Mental Health Counselor
Primary
MHC-777-0
HI
225700000X
Massage Therapist
7008
NM
225700000X
Massage Therapist
MAT-6984
HI
Other
Enumeration date
10/20/2014
Last updated
02/08/2023
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