Provider Demographics
NPI:1154662559
Name:KUHN, JEFFREY A (LCSW)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:A
Last Name:KUHN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 BEAVER WAY
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-0410
Mailing Address - Country:US
Mailing Address - Phone:303-544-9476
Mailing Address - Fax:
Practice Address - Street 1:46 BEAVER WAY
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-0410
Practice Address - Country:US
Practice Address - Phone:303-544-9476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-09
Last Update Date:2013-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical