Healthcare Provider Details

I. General information

NPI: 1609687953
Provider Name (Legal Business Name): ASHLEY KUHN LCMHC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2025
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8842 ORCHARD GROVE WAY
RALEIGH NC
27612-1938
US

IV. Provider business mailing address

8842 ORCHARD GROVE WAY
RALEIGH NC
27612-1938
US

V. Phone/Fax

Practice location:
  • Phone: 909-305-3744
  • Fax:
Mailing address:
  • Phone: 909-305-3744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA20967
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: