| Kenneth Ray Gatlin, CSAC | |
| 
					1301 Punchbowl St, Honolulu, HI 96813-2402  | |
| (808) 547-4221 | |
| (808) 537-7896 | 
| Full Name | Kenneth Ray Gatlin | 
|---|---|
| Gender | Male | 
| Speciality | Counselor - Addiction (substance Use Disorder) | 
| Location | 1301 Punchbowl St, Honolulu, Hawaii | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1932351293 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kenneth Ray Gatlin, CSAC 1301 Punchbowl St, Honolulu, HI 96813-2402 Ph: (808) 547-4221  | Kenneth Ray Gatlin, CSAC 1301 Punchbowl St, Honolulu, HI 96813-2402 Ph: (808) 547-4221  | 
Sabrina Phelps,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Piikoi St., # 203, Honolulu, HI 96814 Phone: 808-589-1829  | |
Heather Beecher,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Piikoi St, Suite 203, Honolulu, HI 96814 Phone: 808-589-1829 Fax: 808-589-2610  | |
Shanna Frye,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Piikoi St., #203, Honolulu, HI 96814 Phone: 808-589-1829  | |
Charles Garcia,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 875 Waimanu St Ste 624, Honolulu, HI 96813 Phone: 808-791-6713  | |
Mr. Randy J. Jensen, MSN Counselor Medicare: Not Enrolled in Medicare Practice Location: 1301 Punchbowl St., Honolulu, HI 96813 Phone: 808-223-3875  | |
Jumanne Washington,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Piikoi St., Honolulu, HI 96814 Phone: 808-589-1829  | |
Rachel Power,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Piikoi St., # 203, Honolulu, HI 96814 Phone: 808-589-1829  |