Provider Demographics
NPI:1831340223
Name:ROCO, JOHN P (MA, MA)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:P
Last Name:ROCO
Suffix:
Gender:M
Credentials:MA, MA
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 11272
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96828-0272
Mailing Address - Country:US
Mailing Address - Phone:808-721-9845
Mailing Address - Fax:
Practice Address - Street 1:1888 KALAKAUA AVE STE C312
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-1550
Practice Address - Country:US
Practice Address - Phone:808-721-9845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-03
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional