Doctor Name: | MRS. KEESHA LEIGH KUNTZ |
NPI Number: | 1013153824 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC #4250 |
License Number: | |
Business Practice Address: | 417 E Silas St Bartlesville, OK - 74003 |
Business Phone Number: | 9183376050 |
Business Fax Number: | 9183376061 |
Mailing Address: | 417 E Silas St, BARTLESVILLE |
State: | OK |
Postal Code: | 74003 |
Phone Number: | 9183376050 |
Fax Number: | 9183376061 |
NPI Enumeration Date: | 12/29/2008 |
NPI Last Update Date: | 10/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |