Individual
MR. DION MARCEL BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. PSYCHOLOGY
Contact information
Practice address
615 PIIKOI ST, HONOLULU, HI 96814-3116
(808) 596-8433
Mailing address
98-1455 HOOHIKI ST, PEARL CITY, HI 96782-2308
(808) 330-3490
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
H00561509
HI
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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