Provider Demographics
NPI:1619640513
Name:HAN KUFNER, JUNGWON JENNIFER (LMHC)
Entity Type:Individual
Prefix:MS
First Name:JUNGWON
Middle Name:JENNIFER
Last Name:HAN KUFNER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:JJ
Other - Middle Name:
Other - Last Name:HAN KUFNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC
Mailing Address - Street 1:50 TELLER AVE
Mailing Address - Street 2:
Mailing Address - City:BEACON
Mailing Address - State:NY
Mailing Address - Zip Code:12508-3257
Mailing Address - Country:US
Mailing Address - Phone:917-723-2157
Mailing Address - Fax:
Practice Address - Street 1:50 TELLER AVE
Practice Address - Street 2:
Practice Address - City:BEACON
Practice Address - State:NY
Practice Address - Zip Code:12508-3257
Practice Address - Country:US
Practice Address - Phone:917-723-2157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-27
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health