Healthcare Provider Details

I. General information

NPI: 1750527693
Provider Name (Legal Business Name): BRIAN R KUHN M.A., L.P.C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/24/2008
Last Update Date: 06/27/2023
Certification Date: 06/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

919 GLENMILL DR
MANCHESTER MO
63021-2931
US

IV. Provider business mailing address

6907 PAGE AVE #1168
ST. LOUIS MO
63133
US

V. Phone/Fax

Practice location:
  • Phone: 314-973-6921
  • Fax:
Mailing address:
  • Phone: 314-834-2226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2006015569
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: