Provider Demographics
NPI:1508994997
Name:QUNELL, MICHAEL ALLEN (M ED, LPC)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:ALLEN
Last Name:QUNELL
Suffix:
Gender:M
Credentials:M ED, LPC
Other - Prefix:MR
Other - First Name:MICHAEL
Other - Middle Name:ALLEN
Other - Last Name:QUNELL, M. ED., LPC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:M ED, LPC
Mailing Address - Street 1:PO BOX 272
Mailing Address - Street 2:
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76804-0272
Mailing Address - Country:US
Mailing Address - Phone:325-646-6203
Mailing Address - Fax:325-643-5701
Practice Address - Street 1:2222 HWY. 377 SOUTH CENTENNIAL POINT STE. # 14
Practice Address - Street 2:
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801
Practice Address - Country:US
Practice Address - Phone:325-646-6203
Practice Address - Fax:325-643-5701
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11967101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional