Healthcare Provider Details

I. General information

NPI: 1447961628
Provider Name (Legal Business Name): ANNA-LISE KUNZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANNIE KUNZ

II. Dates (important events)

Enumeration Date: 12/08/2022
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7966 N ORACLE RD # 132
TUCSON AZ
85704-6317
US

IV. Provider business mailing address

7966 N ORACLE RD # 132
TUCSON AZ
85704-6317
US

V. Phone/Fax

Practice location:
  • Phone: 760-422-7934
  • Fax:
Mailing address:
  • Phone: 760-422-7934
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-20258
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW135609
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: