Provider Demographics
NPI:1184420697
Name:KUNITZ, MAXMILLIAN LEVEC SR
Entity type:Individual
Prefix:
First Name:MAXMILLIAN
Middle Name:LEVEC
Last Name:KUNITZ
Suffix:SR
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 MONTEREY DR
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-4530
Mailing Address - Country:US
Mailing Address - Phone:925-877-2405
Mailing Address - Fax:
Practice Address - Street 1:1401 MONTEREY DR
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-4530
Practice Address - Country:US
Practice Address - Phone:925-877-2405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)