Healthcare Provider Details

I. General information

NPI: 1881924165
Provider Name (Legal Business Name): GAYLE KUHR MSED, LPCC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2010
Last Update Date: 06/30/2020
Certification Date: 06/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3777 PURDEY CT
NEW ALBANY OH
43054-9082
US

IV. Provider business mailing address

3777 PURDEY CT
NEW ALBANY OH
43054-9082
US

V. Phone/Fax

Practice location:
  • Phone: 614-668-4335
  • Fax:
Mailing address:
  • Phone: 614-668-4335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC 0700883
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.0700883-SUPV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: