Healthcare Provider Details
I. General information
NPI: 1437370202
Provider Name (Legal Business Name): CHRISTINE A KUHNER MSSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/01/2007
Last Update Date: 05/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
408 WEST TWENTY-THIRD ST
AUSTIN TX
78705-5214
US
IV. Provider business mailing address
408 WEST TWENTY-THIRD ST
AUSTIN TX
78705-5214
US
V. Phone/Fax
- Phone: 512-774-9512
- Fax:
- Phone: 512-774-9512
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 57612 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: