Healthcare Provider Details

I. General information

NPI: 1477868263
Provider Name (Legal Business Name): MARIA M. KUHN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2010
Last Update Date: 09/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 S MERAMEC AVE S/303
SAINT LOUIS MO
63105-3514
US

IV. Provider business mailing address

2664 WYNNCREST RIDGE DR
WILDWOOD MO
63005-6728
US

V. Phone/Fax

Practice location:
  • Phone: 636-675-3639
  • Fax:
Mailing address:
  • Phone: 636-675-3639
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2007025813
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: