Provider Demographics
NPI:1245606862
Name:CHOCK, JOHN SHERWOOD CHEN-I (LMHC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:SHERWOOD CHEN-I
Last Name:CHOCK
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1948 NEHOA PL
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-3068
Mailing Address - Country:US
Mailing Address - Phone:808-236-2600
Mailing Address - Fax:808-236-2626
Practice Address - Street 1:438 HOBRON LN STE 315
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-1229
Practice Address - Country:US
Practice Address - Phone:808-284-0455
Practice Address - Fax:808-564-0055
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-18
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMHC-365101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health