Provider Demographics
NPI:1912282740
Name:KUHN, MARIA ERIKA JANICE (LICENSED CLINICAL PR)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:ERIKA JANICE
Last Name:KUHN
Suffix:
Gender:F
Credentials:LICENSED CLINICAL PR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 N LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-1912
Mailing Address - Country:US
Mailing Address - Phone:630-879-1091
Mailing Address - Fax:630-879-1096
Practice Address - Street 1:20 N LINCOLN ST
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-1912
Practice Address - Country:US
Practice Address - Phone:630-879-1091
Practice Address - Fax:630-879-1096
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-12
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178-002237101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional