Provider Demographics
NPI:1942267976
Name:OSIECKI, STEPHEN CHESTER (MFT)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:CHESTER
Last Name:OSIECKI
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4500
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96812-4500
Mailing Address - Country:US
Mailing Address - Phone:808-371-3254
Mailing Address - Fax:
Practice Address - Street 1:319A N. CANE ST.
Practice Address - Street 2:
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786-2109
Practice Address - Country:US
Practice Address - Phone:808-371-3254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI76106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist