Healthcare Provider Details

I. General information

NPI: 1366984262
Provider Name (Legal Business Name): DALLAS WILLIAM KUHN MRC, LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2016
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 HAPPY RIDGE RD
LEXINGTON SC
29073-8704
US

IV. Provider business mailing address

120 HAPPY RIDGE RD
LEXINGTON SC
29073-8704
US

V. Phone/Fax

Practice location:
  • Phone: 803-673-0073
  • Fax:
Mailing address:
  • Phone: 803-673-0073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number7154
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: