Provider Demographics
NPI:1366984262
Name:KUHN, DALLAS WILLIAM (MRC, LPC)
Entity type:Individual
Prefix:MR
First Name:DALLAS
Middle Name:WILLIAM
Last Name:KUHN
Suffix:
Gender:M
Credentials:MRC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 HAPPY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29073-8704
Mailing Address - Country:US
Mailing Address - Phone:803-673-0073
Mailing Address - Fax:
Practice Address - Street 1:120 HAPPY RIDGE RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29073-8704
Practice Address - Country:US
Practice Address - Phone:803-673-0073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-08
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7154101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional