Individual
KENNETH RAY GATLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(808) 547-4221
(808) 537-7896
Mailing address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(808) 547-4221
(808) 537-7896
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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