Healthcare Provider Details

I. General information

NPI: 1447615877
Provider Name (Legal Business Name): LESLEY KUHN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2015
Last Update Date: 03/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 LINCOLN WAY W
MC CONNELLSBURG PA
17233-1302
US

IV. Provider business mailing address

625 W ELM AVE
HANOVER PA
17331-5125
US

V. Phone/Fax

Practice location:
  • Phone: 717-485-3264
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC008280
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: