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NPI Code Detail

MEDICARE: KIRSTEN JOY KUNS LMFT

MEDICARE: KIRSTEN JOY KUNS LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist51933CA

General Provider Information

NPI Number : 1538305396
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRSTEN JOY KUNS LMFT
Provider Business Mailing Address
First Line : 815 COLORADO BLVD STE 300
Second Line :
City : LOS ANGELES
State : CA
Zip : 90041-1744
Country : US
Telephone Number : 323-543-2800
Fax Number : 323-978-1263
Provider Business Practice Location Address
First Line : 149 PASADENA AVE STE A
Second Line :
City : SOUTH PASADENA
State : CA
Zip : 91030-3351
Country : US
Telephone Number : 323-274-3065
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2008
Last Update Date : 02/25/2021

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