Healthcare Provider Details

I. General information

NPI: 1508319260
Provider Name (Legal Business Name): KRISTINE KUNS MA, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2016
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4135 RICHARD AVE STE 201
DULUTH MN
55811-2979
US

IV. Provider business mailing address

4135 RICHARD AVE STE 201
DULUTH MN
55811-2979
US

V. Phone/Fax

Practice location:
  • Phone: 218-464-0908
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number01752
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: