Healthcare Provider Details

I. General information

NPI: 1154097673
Provider Name (Legal Business Name): ALICE KUHNS MA, AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2021
Last Update Date: 08/17/2021
Certification Date: 08/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2716 OCEAN PARK BLVD STE 3075
SANTA MONICA CA
90405-5232
US

IV. Provider business mailing address

555 WILCOX AVE
LOS ANGELES CA
90004-1110
US

V. Phone/Fax

Practice location:
  • Phone: 310-612-2998
  • Fax: 424-600-7150
Mailing address:
  • Phone: 323-932-8239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number127053
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: