Individual
NATHANIEL R BOSSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4586A E EHA WAY, EWA BEACH, HI 96706
(504) 644-1912
(504) 644-1912
Mailing address
4586A E EHA WAY, EWA BEACH, HI 96706
(504) 644-1912
(504) 644-1912
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
5011
HI
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/19/2015
Last updated
06/25/2024
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