Provider Demographics
NPI:1720307713
Name:UNKAUF, KRISTEN (PHD)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:UNKAUF
Suffix:
Gender:F
Credentials:PHD
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 6744
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70174-6744
Mailing Address - Country:US
Mailing Address - Phone:504-309-7844
Mailing Address - Fax:504-309-7845
Practice Address - Street 1:222 N VERMONT ST
Practice Address - Street 2:SUITE H
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-3240
Practice Address - Country:US
Practice Address - Phone:504-296-9781
Practice Address - Fax:985-246-7075
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-31
Last Update Date:2010-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3492101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional