Provider Demographics
NPI:1447308572
Name:MOSPENS, JENNIFER JOYCE (LMFT)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:JOYCE
Last Name:MOSPENS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:354 ULUNIU ST STE 412
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2533
Mailing Address - Country:US
Mailing Address - Phone:808-234-3445
Mailing Address - Fax:
Practice Address - Street 1:354 ULUNIU ST STE 412
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2533
Practice Address - Country:US
Practice Address - Phone:808-234-3445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI186106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist