Provider Demographics
NPI:1164220281
Name:WOEHRLE, KATHRYN (MFT)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:WOEHRLE
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 342145
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-8998
Mailing Address - Country:US
Mailing Address - Phone:808-927-8784
Mailing Address - Fax:
Practice Address - Street 1:41-950 KAKAINA ST # A
Practice Address - Street 2:
Practice Address - City:WAIMANALO
Practice Address - State:HI
Practice Address - Zip Code:96795-1107
Practice Address - Country:US
Practice Address - Phone:808-927-8784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health