Provider Demographics
NPI:1699321000
Name:KUNOS, JULIE MARIE (LPC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:MARIE
Last Name:KUNOS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 W SOUTH BOUNDARY ST BLDG 7B
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-5244
Mailing Address - Country:US
Mailing Address - Phone:419-724-4233
Mailing Address - Fax:877-622-7635
Practice Address - Street 1:900 W SOUTH BOUNDARY ST BLDG 7B
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-5244
Practice Address - Country:US
Practice Address - Phone:419-724-4233
Practice Address - Fax:877-622-7635
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-12
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1901841-TRNE101Y00000X
OHC.2103330101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor