| Doctor Name: | MR. JON M NAGAMINE |
| NPI Number: | 1275866758 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S.C.P. |
| License Number: | |
| Business Practice Address: | 91-452 Papipi Dr Ewa Beach, HI - 967062317 |
| Business Phone Number: | 8084794327 |
| Business Fax Number: | 8086891242 |
| Mailing Address: | 91-452 Papipi Dr, EWA BEACH |
| State: | HI |
| Postal Code: | 967062317 |
| Phone Number: | 8084794327 |
| Fax Number: | 8086891242 |
| NPI Enumeration Date: | 09/15/2009 |
| NPI Last Update Date: | 09/15/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |