Provider Demographics
NPI:1821268624
Name:KUFRIN, ARNA LEE HELENA (MSW ACSW DCAC DCSW)
Entity Type:Individual
Prefix:MS
First Name:ARNA LEE
Middle Name:HELENA
Last Name:KUFRIN
Suffix:
Gender:F
Credentials:MSW ACSW DCAC DCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 NINA CIRCLE
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15407
Mailing Address - Country:US
Mailing Address - Phone:917-923-4111
Mailing Address - Fax:
Practice Address - Street 1:50 WEST MAIN STREET
Practice Address - Street 2:SUITE 704
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401
Practice Address - Country:US
Practice Address - Phone:917-923-4111
Practice Address - Fax:724-439-9701
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-07
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0478101YA0400X
NY10694101YA0400X
PA5667101YM0800X
PASW000390E104100000X
NY070952104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
593799OtherVBH HEALTH OPTIONS