Healthcare Provider Details
I. General information
NPI: 1861678310
Provider Name (Legal Business Name): NANCY L KUHNS-TRUCKS CAC, CCS, CCDP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/15/2008
Last Update Date: 01/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 E CHESTNUT AVE
ALTOONA PA
16601-5215
US
IV. Provider business mailing address
500 E CHESTNUT AVE
ALTOONA PA
16601-5215
US
V. Phone/Fax
- Phone: 814-946-5411
- Fax:
- Phone: 814-946-5411
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: