Provider Demographics
NPI:1134542111
Name:OISHI, NICOLE M (MFT)
Entity type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:M
Last Name:OISHI
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68-047 APUHIHI ST APT 104
Mailing Address - Street 2:
Mailing Address - City:WAIALUA
Mailing Address - State:HI
Mailing Address - Zip Code:96791-9458
Mailing Address - Country:US
Mailing Address - Phone:415-939-4992
Mailing Address - Fax:
Practice Address - Street 1:68-047 APUHIHI ST APT 104
Practice Address - Street 2:
Practice Address - City:WAIALUA
Practice Address - State:HI
Practice Address - Zip Code:96791-9458
Practice Address - Country:US
Practice Address - Phone:415-939-4992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-28
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI314106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist