Healthcare Provider Details

I. General information

NPI: 1235562877
Provider Name (Legal Business Name): PATRICIA MARIE KUHN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2013
Last Update Date: 08/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

343 DELA VINA AVE
MONTEREY CA
93940-3974
US

IV. Provider business mailing address

1140 MONARCH LN APT 203
PACIFIC GROVE CA
93950-2307
US

V. Phone/Fax

Practice location:
  • Phone: 831-647-3000
  • Fax: 831-647-3008
Mailing address:
  • Phone: 541-301-1863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: