| Doctor Name: | JAXIE KAY GUNNER |
| NPI Number: | 1306005368 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S.W., L.C..S.W. |
| License Number: | CW016514 |
| Business Practice Address: | 408 8th St Suite 5 New Kensington, PA - 150686426 |
| Business Phone Number: | 7249801504 |
| Business Fax Number: | |
| Mailing Address: | 408 8th St, Suite 5 NEW KENSINGTON |
| State: | PA |
| Postal Code: | 150686426 |
| Phone Number: | 7249801504 |
| Fax Number: | |
| NPI Enumeration Date: | 06/05/2008 |
| NPI Last Update Date: | 10/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CW016514 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |