Provider Demographics
NPI:1689736365
Name:KUEHNER RAVO, KRISTIN (MSW)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:KUEHNER RAVO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 E MILL RD
Mailing Address - Street 2:SUITE 2-202
Mailing Address - City:LONG VALLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07853-6215
Mailing Address - Country:US
Mailing Address - Phone:908-876-8764
Mailing Address - Fax:
Practice Address - Street 1:59 E MILL RD
Practice Address - Street 2:SUITE 2-202
Practice Address - City:LONG VALLEY
Practice Address - State:NJ
Practice Address - Zip Code:07853-6215
Practice Address - Country:US
Practice Address - Phone:908-876-8764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC048068001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical