Provider Demographics
NPI:1225803885
Name:HOEPKEN, KYNDAL (MS, LPC, CATP)
Entity Type:Individual
Prefix:
First Name:KYNDAL
Middle Name:
Last Name:HOEPKEN
Suffix:
Gender:F
Credentials:MS, LPC, CATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9110 N LOOP 1604 W STE 104
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-3397
Mailing Address - Country:US
Mailing Address - Phone:210-370-7310
Mailing Address - Fax:
Practice Address - Street 1:9110 N LOOP 1604 W STE 104
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-3397
Practice Address - Country:US
Practice Address - Phone:210-370-7310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-22
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83731101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health