Provider Demographics
NPI:1376941138
Name:KUNTZ, DONI LEE (MA)
Entity Type:Individual
Prefix:
First Name:DONI
Middle Name:LEE
Last Name:KUNTZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21212 BURKHART DR
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-4257
Mailing Address - Country:US
Mailing Address - Phone:239-333-7419
Mailing Address - Fax:941-625-8206
Practice Address - Street 1:21212 BURKHART DR
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-4257
Practice Address - Country:US
Practice Address - Phone:239-333-7419
Practice Address - Fax:941-625-8206
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-10
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor