Provider Demographics
NPI:1326704511
Name:KUNCHEVA, VASILENA (MS)
Entity Type:Individual
Prefix:
First Name:VASILENA
Middle Name:
Last Name:KUNCHEVA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 4TH ST N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-2803
Mailing Address - Country:US
Mailing Address - Phone:727-895-8499
Mailing Address - Fax:727-895-8497
Practice Address - Street 1:433 4TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-2803
Practice Address - Country:US
Practice Address - Phone:727-895-8499
Practice Address - Fax:727-895-8497
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-11
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health