| Doctor Name: | MARY LOU KUNKLE |
| NPI Number: | 1114925757 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | LPC000724 |
| Business Practice Address: | 6079 Main St East Petersburg, PA - 17520 |
| Business Phone Number: | 7175601908 |
| Business Fax Number: | 7175604941 |
| Mailing Address: | 200 North 7th St, LEBANON |
| State: | PA |
| Postal Code: | 17046 |
| Phone Number: | 7172731710 |
| Fax Number: | 7172731416 |
| NPI Enumeration Date: | 07/08/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC000724 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |