Healthcare Provider Details

I. General information

NPI: 1508994997
Provider Name (Legal Business Name): MICHAEL ALLEN QUNELL M. ED., LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: MICHAEL ALLEN QUNELL, M. ED., LPC M. ED., LPC

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 HWY. 377 SOUTH CENTENNIAL POINT STE. # 14
BROWNWOOD TX
76801
US

IV. Provider business mailing address

PO BOX 272
BROWNWOOD TX
76804-0272
US

V. Phone/Fax

Practice location:
  • Phone: 325-646-6203
  • Fax: 325-643-5701
Mailing address:
  • Phone: 325-646-6203
  • Fax: 325-643-5701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number11967
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: