Individual
MARK L NOWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS - COUNSELING
Contact information
Practice address
333 DAIRY RD, SUITE 201, KAHULUI, HI 96732-2487
(808) 877-6888
(808) 877-6860
Mailing address
91-1841 FORT WEAVER RD, EWA BEACH, HI 96706-1909
(808) 681-3500
(808) 681-1486
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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