Individual
ODIS MCKINZIE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
45-329 PUALI ST, KANEOHE, HI 96744-2241
(240) 601-5272
(301) 682-5326
Mailing address
45-329 PUALI ST, KANEOHE, HI 96744-2241
(240) 601-5272
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701003945
VA
101YM0800X
Mental Health Counselor
Primary
MHC 242
HI
Other
Enumeration date
01/08/2007
Last updated
05/02/2011
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