Provider Demographics
NPI:1366794265
Name:KUC, HANA (LMHC)
Entity type:Individual
Prefix:
First Name:HANA
Middle Name:
Last Name:KUC
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:HANA
Other - Middle Name:
Other - Last Name:HETTESOVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:561 COURT ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11231-3804
Mailing Address - Country:US
Mailing Address - Phone:718-780-7442
Mailing Address - Fax:
Practice Address - Street 1:561 COURT ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11231-3804
Practice Address - Country:US
Practice Address - Phone:718-780-7442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-03
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004808101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health