Basic Information
Provider Information
NPI: 1235562877
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KUHN
FirstName: PATRICIA
MiddleName: MARIE
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1140 MONARCH LN APT 203
Address2:  
City: PACIFIC GROVE
State: CA
PostalCode: 939502307
CountryCode: US
TelephoneNumber: 5413011863
FaxNumber:  
Practice Location
Address1: 343 DELA VINA AVE
Address2:  
City: MONTEREY
State: CA
PostalCode: 939403974
CountryCode: US
TelephoneNumber: 8316473000
FaxNumber: 8316473008
Other Information
ProviderEnumerationDate: 08/19/2013
LastUpdateDate: 08/19/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X  Y Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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