Provider Demographics
NPI:1912334251
Name:KUHN, JERRY E (MS, MBA, LMHC)
Entity type:Individual
Prefix:MR
First Name:JERRY
Middle Name:E
Last Name:KUHN
Suffix:
Gender:M
Credentials:MS, MBA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 S MCCALL RD
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34223-4866
Mailing Address - Country:US
Mailing Address - Phone:941-681-0616
Mailing Address - Fax:941-894-0415
Practice Address - Street 1:1500 S MCCALL RD
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34223-4866
Practice Address - Country:US
Practice Address - Phone:941-681-0616
Practice Address - Fax:941-894-0415
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-01
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH14916101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL020624800Medicaid