Provider Demographics
NPI:1396592010
Name:ABRA MCCLURE KUNIAK COUNSELING & CONSULTING LLC
Entity type:Organization
Organization Name:ABRA MCCLURE KUNIAK COUNSELING & CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABRA
Authorized Official - Middle Name:E
Authorized Official - Last Name:KUNIAK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:724-882-4190
Mailing Address - Street 1:79114 VERMONT WAY
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2754
Mailing Address - Country:US
Mailing Address - Phone:724-882-4190
Mailing Address - Fax:
Practice Address - Street 1:116 N MAIN ST STE 5
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2411
Practice Address - Country:US
Practice Address - Phone:724-882-4190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-01
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty