Healthcare Provider Details

I. General information

NPI: 1235006883
Provider Name (Legal Business Name): AMANDA KUHN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 2ND ST W STE A
DICKINSON ND
58601-5384
US

IV. Provider business mailing address

4968 104TH AVE SW
DICKINSON ND
58601-9533
US

V. Phone/Fax

Practice location:
  • Phone: 701-264-9049
  • Fax:
Mailing address:
  • Phone: 701-320-1318
  • Fax: 701-320-1318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1502-10-15-25A
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: