Healthcare Provider Details

I. General information

NPI: 1619045101
Provider Name (Legal Business Name): LINDSEY KUNKEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 W MISSION ST STE A
SANTA BARBARA CA
93101-2450
US

IV. Provider business mailing address

22 W MISSION ST
SANTA BARBARA CA
93101-6915
US

V. Phone/Fax

Practice location:
  • Phone: 805-884-8030
  • Fax: 805-884-8031
Mailing address:
  • Phone:
  • 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: