Healthcare Provider Details
I. General information
NPI: 1740876234
Provider Name (Legal Business Name): KUHL COUNSELING LCSW PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/18/2020
Last Update Date: 12/18/2020
Certification Date: 12/18/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1416 SWEET HOME RD STE 1
BUFFALO NY
14228-2786
US
IV. Provider business mailing address
1416 SWEET HOME RD STE 1
BUFFALO NY
14228-2786
US
V. Phone/Fax
- Phone: 716-235-3750
- Fax:
- Phone: 716-235-3750
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CARLA
R
KUHL
Title or Position: OWNER
Credential: LCSW
Phone: 716-235-3750