Healthcare Provider Details

I. General information

NPI: 1649738170
Provider Name (Legal Business Name): ANGELA M KUHNS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/04/2019
Last Update Date: 10/24/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 N 2ND ST
SAINT CHARLES MO
63301-2039
US

IV. Provider business mailing address

804 N 2ND ST
SAINT CHARLES MO
63301-2039
US

V. Phone/Fax

Practice location:
  • Phone: 217-440-5842
  • Fax:
Mailing address:
  • Phone: 217-440-5842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2016004562
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: