Healthcare Provider Details

I. General information

NPI: 1225600315
Provider Name (Legal Business Name): JENNIFER MARIE KUHN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MRS. JENNIFER MARIE ALLEN

II. Dates (important events)

Enumeration Date: 07/16/2021
Last Update Date: 11/09/2023
Certification Date: 11/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2202 AWARD WINNING WAY STE 101
KNOXVILLE TN
37932-1991
US

IV. Provider business mailing address

11809 N MONTICELLO DR
KNOXVILLE TN
37934-2621
US

V. Phone/Fax

Practice location:
  • Phone: 865-224-6446
  • Fax:
Mailing address:
  • Phone: 865-567-7873
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number11293
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number8971
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: