Healthcare Provider Details

I. General information

NPI: 1265222160
Provider Name (Legal Business Name): JESSICA KUHN LPC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JESSIE KUHN LPC-S

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8705 SHOAL CREEK BLVD STE 108
AUSTIN TX
78757-6839
US

IV. Provider business mailing address

8705 SHOAL CREEK BLVD STE 108
AUSTIN TX
78757-6839
US

V. Phone/Fax

Practice location:
  • Phone: 737-224-4495
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number66640
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: