Provider Demographics
NPI:1013367762
Name:KUHN, HEATHER (MA, R-DMT, RSMT)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:
Last Name:KUHN
Suffix:
Gender:F
Credentials:MA, R-DMT, RSMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-2973
Mailing Address - Country:US
Mailing Address - Phone:508-523-9429
Mailing Address - Fax:
Practice Address - Street 1:28 HIGH ST
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-2973
Practice Address - Country:US
Practice Address - Phone:508-523-9429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-14
Last Update Date:2021-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA12143-MH-CC101YM0800X
VT120900101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health