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General NPI Number Information
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NPI Number | 1336122704
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Entity Type | Individual
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Provider Name | WILLIAM H KUNTZ M.S., LCSW, LIC. PSY
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Gender | Male
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Dates
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Enumeration Date | 11/21/2005
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 745 CRAIG RD STE 102C
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City | CREVE COEUR
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State | MO
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Zip | 63141-7122
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Country | US
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Telephone | 314-712-1754
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Fax | 314-828-5163
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Provider Business Mailing Address
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Address Line | 141 E MADISON AVE APT 407
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City | KIRKWOOD
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State | MO
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Zip | 63122-4331
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Country | US
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Telephone | 314-712-1754
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Fax | 314-828-5163
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW002855
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY01685
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License Number State | MO
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