Healthcare Provider Details

I. General information

NPI: 1699511352
Provider Name (Legal Business Name): DAWNEL LOUISE KUHN LMHC, CCTP, CGP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2024
Last Update Date: 07/02/2024
Certification Date: 07/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2141 LOCH RANE BLVD
ORANGE PARK FL
32073-5723
US

IV. Provider business mailing address

PO BOX 274
RAIFORD FL
32083-0274
US

V. Phone/Fax

Practice location:
  • Phone: 904-213-2945
  • Fax:
Mailing address:
  • Phone: 904-930-5840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH23293
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: