Provider Demographics
NPI:1043312028
Name:KUHN, TODD HAROLD (LPC, MS, CADC III)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:HAROLD
Last Name:KUHN
Suffix:
Gender:M
Credentials:LPC, MS, CADC III
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 ORIOLE LN
Mailing Address - Street 2:
Mailing Address - City:WISCONSIN RAPIDS
Mailing Address - State:WI
Mailing Address - Zip Code:54494-1850
Mailing Address - Country:US
Mailing Address - Phone:715-423-1557
Mailing Address - Fax:
Practice Address - Street 1:209 PRENTICE ST N
Practice Address - Street 2:
Practice Address - City:STEVENS POINT
Practice Address - State:WI
Practice Address - Zip Code:54481-1162
Practice Address - Country:US
Practice Address - Phone:715-344-4611
Practice Address - Fax:715-344-8127
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1845-125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39665800Medicaid