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NPI Code Detail

MEDICARE: ARLENE J KUNTZMAN LMHC

MEDICARE: ARLENE J KUNTZMAN LMHC
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 Counselor39000190AIN

General Provider Information

NPI Number : 1851777890
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARLENE J KUNTZMAN LMHC
Provider Business Mailing Address
First Line : 11109 PARKVIEW PLAZA DR # 117
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-1701
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1115 S MAIN ST
Second Line :
City : BLUFFTON
State : IN
Zip : 46714-3616
Country : US
Telephone Number : 260-824-1071
Fax Number : 260-824-5578
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2015
Last Update Date : 05/04/2021

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Directions to “ ARLENE J KUNTZMAN LMHC” Practice Location

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