Provider Demographics
NPI:1548395411
Name:KUNEFKE, ALISON ELAINE (LPC)
Entity Type:Individual
Prefix:MISS
First Name:ALISON
Middle Name:ELAINE
Last Name:KUNEFKE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:ELAINE
Other - Last Name:KUNEFKE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:6515 KEMP BLVD.
Mailing Address - Street 2:EEP
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76308
Mailing Address - Country:US
Mailing Address - Phone:940-689-5698
Mailing Address - Fax:
Practice Address - Street 1:6515 KEMP BLVD
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76308-5419
Practice Address - Country:US
Practice Address - Phone:940-692-1220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60958101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health