Kunkel, Heather L
Kunkel, Heather L is an sole proprietor health care provider with primary practice located at 28 W Gretna Rd , Pleasant Valley NY 12569-6968. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kunkel, Heather L can be contacted via phone (203) 491-8657.Contact Information
Primary practice address
28 W Gretna Rd
Pleasant Valley NY 12569-6968
Phone: (203) 491-8657
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 090468 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 010380 | Connecticut |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1124394507 |
|---|---|
| LBN Legal business name | Kunkel, Heather L |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2012 |
| Last updated | Nov 25th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124394507 | NPPES |
| Connecticut | MEDICAID | 008084354 |
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