Basic Information
Provider Information
NPI: 1073678967
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KUHN
FirstName: STEVEN
MiddleName: JOHN
NamePrefix: MR.
NameSuffix:  
Credential: MS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 305 WEIBY AVE
Address2:  
City: SILVERTON
State: OR
PostalCode: 973812251
CountryCode: US
TelephoneNumber: 5038738936
FaxNumber:  
Practice Location
Address1: 2421 LANCASTER DR NE
Address2:  
City: SALEM
State: OR
PostalCode: 973051220
CountryCode: US
TelephoneNumber: 5035662999
FaxNumber: 5033612782
Other Information
ProviderEnumerationDate: 12/22/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101Y00000X  X Behavioral Health & Social Service ProvidersCounselor 
101YM0800X  X Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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