Provider Demographics
NPI:1558351262
Name:KUNYSZ, MADELYN (LMFT)
Entity Type:Individual
Prefix:MS
First Name:MADELYN
Middle Name:
Last Name:KUNYSZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40960 CALIFORNIA OAKS RD # 219
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-5747
Mailing Address - Country:US
Mailing Address - Phone:951-696-0676
Mailing Address - Fax:951-600-3806
Practice Address - Street 1:41690 IVY ST # B-6
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-9436
Practice Address - Country:US
Practice Address - Phone:951-696-0676
Practice Address - Fax:951-600-3806
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-24
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC20570106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist