Provider Demographics
NPI:1770977878
Name:KUNZ, KAMI MOORE (LPCC)
Entity type:Individual
Prefix:
First Name:KAMI
Middle Name:MOORE
Last Name:KUNZ
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:KAMI
Other - Middle Name:RENEE
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC
Mailing Address - Street 1:597 HIGH ST UNIT 1293
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-5039
Mailing Address - Country:US
Mailing Address - Phone:614-886-4080
Mailing Address - Fax:
Practice Address - Street 1:536 MEADOWAY PARK
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-3797
Practice Address - Country:US
Practice Address - Phone:614-886-4080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE. 1100227101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor