Provider Demographics
NPI:1295506939
Name:BATCHAN, TUNYALUK NMN (MFT)
Entity type:Individual
Prefix:
First Name:TUNYALUK
Middle Name:NMN
Last Name:BATCHAN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:TUNYALUK
Other - Middle Name:
Other - Last Name:KAMKING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3101 S KIMBROUGH AVE # B
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65807-5011
Mailing Address - Country:US
Mailing Address - Phone:417-299-7096
Mailing Address - Fax:
Practice Address - Street 1:3101 S KIMBROUGH AVE # B
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-5011
Practice Address - Country:US
Practice Address - Phone:417-229-7096
Practice Address - Fax:417-450-4896
Is Sole Proprietor?:No
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist