Healthcare Provider Details

I. General information

NPI: 1265188858
Provider Name (Legal Business Name): ALLYSON KUHN LMHC-LP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2022
Last Update Date: 02/23/2022
Certification Date: 02/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 CHURCH ST
NORTH SYRACUSE NY
13212
US

IV. Provider business mailing address

113 CHURCH ST
N SYRACUSE NY
13212
US

V. Phone/Fax

Practice location:
  • Phone: 315-415-0308
  • Fax: 315-883-0711
Mailing address:
  • Phone: 315-415-0308
  • Fax: 315-883-0711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1112491
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: