Healthcare Provider Details

I. General information

NPI: 1194258616
Provider Name (Legal Business Name): EMILY KUHL LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2017
Last Update Date: 04/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

366 MASSACHUSETTS AVE SUITE 303
ARLINGTON MA
02474-6733
US

IV. Provider business mailing address

366 MASSACHUSETTS AVE SUITE 303
ARLINGTON MA
02474-6733
US

V. Phone/Fax

Practice location:
  • Phone: 978-886-9238
  • Fax:
Mailing address:
  • Phone: 978-886-9238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8866
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: