Provider Demographics
NPI:1467857748
Name:KUNI, ANNE ELIZABETH (MA)
Entity type:Individual
Prefix:MISS
First Name:ANNE
Middle Name:ELIZABETH
Last Name:KUNI
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2908 ST GEORGE ST APT 7
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-3020
Mailing Address - Country:US
Mailing Address - Phone:602-758-1072
Mailing Address - Fax:
Practice Address - Street 1:1439 N HIGHLAND AVE # 1060
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90028-7622
Practice Address - Country:US
Practice Address - Phone:424-666-0904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-28
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA82714106H00000X
CO.0002077106H00000X
CA103571106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist