Provider Demographics
NPI:1508112871
Name:SERRAON, KALENA SOLTREN (LCSW)
Entity Type:Individual
Prefix:
First Name:KALENA
Middle Name:SOLTREN
Last Name:SERRAON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2224 PELELEU PL
Mailing Address - Street 2:
Mailing Address - City:KALAHEO
Mailing Address - State:HI
Mailing Address - Zip Code:96741-9782
Mailing Address - Country:US
Mailing Address - Phone:808-634-8658
Mailing Address - Fax:808-681-1486
Practice Address - Street 1:2-2514 KAUMUALII HWY STE 205
Practice Address - Street 2:
Practice Address - City:KALAHEO
Practice Address - State:HI
Practice Address - Zip Code:96741-8304
Practice Address - Country:US
Practice Address - Phone:808-855-0760
Practice Address - Fax:844-898-6130
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-24
Last Update Date:2024-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW - 40131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical