Provider Demographics
NPI:1316025620
Name:TEMPLAIN-KUEHN, AMBER MICHELLE (LPC)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:MICHELLE
Last Name:TEMPLAIN-KUEHN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2627 CALDER ST
Mailing Address - Street 2:SUITE 200 B
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702-1962
Mailing Address - Country:US
Mailing Address - Phone:409-835-1375
Mailing Address - Fax:409-835-1770
Practice Address - Street 1:2627 CALDER ST
Practice Address - Street 2:SUITE 200 B
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1962
Practice Address - Country:US
Practice Address - Phone:409-835-1375
Practice Address - Fax:409-835-1770
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6651LCOtherBCBS
TX164885901Medicaid