Healthcare Provider Details

I. General information

NPI: 1265291868
Provider Name (Legal Business Name): KATHRYN L TRUSSELL LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHRYN LEIGH ZARKO LMFT

II. Dates (important events)

Enumeration Date: 03/15/2024
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5853 HALEOLA ST # A
HONOLULU HI
96821-2139
US

IV. Provider business mailing address

5853 HALEOLA ST # A
HONOLULU HI
96821-2139
US

V. Phone/Fax

Practice location:
  • Phone: 808-652-7890
  • Fax:
Mailing address:
  • Phone: 808-652-7890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: