DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ODIS MCKINZIE JR., LCPC

Active Sole Proprietor

Mental Health Counselor · KANEOHE, HI

Registration Details

NPI Number
1891844239
Provider Type
Individual
Gender
Male
NPI Issued
Jan 8, 2007 (19.283517648596 yrs)
Last Updated
May 2, 2011
Licenses
MHC 242 (HI)
0701003945 (VA)
Sole Proprietor
Yes

Practice Information

Address
45-329 PUALI ST
KANEOHE, HI, 967442241
Browse HI providers · Browse ZIP 96744
Phone
2406015272
Fax
3016825326
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in KANEOHE, HI

Name Credential NPI
MR. JOSEPH E GOMES M.S. 1366594616
DANE GANES 1528219482
MATTHEW CLAYBAUGH PH.D. 1356592216
MISS DESRAE K KAHALE NCC, LMHC 1518102250
TARA DIXON 1942434246
MR. MICHAEL JOHN MOSKAL M.S. 1982962452
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.