Provider Demographics
NPI:1851627350
Name:KUHN, MARLA GREEN (LPC)
Entity Type:Individual
Prefix:
First Name:MARLA
Middle Name:GREEN
Last Name:KUHN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 482
Mailing Address - Street 2:470 HARSHAW RD.
Mailing Address - City:PATAGONIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85624-0482
Mailing Address - Country:US
Mailing Address - Phone:520-394-0087
Mailing Address - Fax:
Practice Address - Street 1:1526 E ADELAIDE DR
Practice Address - Street 2:UNIT 2
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-2713
Practice Address - Country:US
Practice Address - Phone:520-604-6741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-19
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-13282101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional