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NPI Code Detail

MEDICARE: REAGAN R KUNESH LPC-IT

MEDICARE: REAGAN R KUNESH LPC-IT
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
1101YM0800XMental Health CounselorWI

General Provider Information

NPI Number : 1558294819
Entity Type Code : Individual
Provider Name (Legal Business Name) : REAGAN R KUNESH LPC-IT
Provider Business Mailing Address
First Line : 2314 N GRANDVIEW BLVD STE 207
Second Line :
City : WAUKESHA
State : WI
Zip : 53188-1675
Country : US
Telephone Number : 262-251-1112
Fax Number :
Provider Business Practice Location Address
First Line : 2314 N GRANDVIEW BLVD STE 207
Second Line :
City : WAUKESHA
State : WI
Zip : 53188-1675
Country : US
Telephone Number : 262-251-1112
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “ REAGAN R KUNESH LPC-IT” Practice Location

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