Healthcare Provider Details
I. General information
NPI: 1720003999
Provider Name (Legal Business Name): HELEN BLANCH CUENY LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/12/2006
Last Update Date: 08/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
703 N 2ND AVE
IRON RIVER MI
49935-1451
US
IV. Provider business mailing address
715 PYLE DR
KINGSFORD MI
49802-4456
US
V. Phone/Fax
- Phone: 906-265-5126
- Fax: 906-265-5878
- Phone: 906-774-0522
- Fax: 906-774-1570
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 6801086520 |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: