Provider Demographics
NPI:1689236762
Name:EPSTEIN, KENDRA KAIULANI (LCSW)
Entity Type:Individual
Prefix:
First Name:KENDRA
Middle Name:KAIULANI
Last Name:EPSTEIN
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 1:2835E KOLOWALU ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-1851
Mailing Address - Country:US
Mailing Address - Phone:808-384-6449
Mailing Address - Fax:
Practice Address - Street 1:2835E KOLOWALU ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-1851
Practice Address - Country:US
Practice Address - Phone:808-384-6449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-28
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI3659101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty