Provider Demographics
NPI:1942010566
Name:KUENSTLER, BRADY (LPC, CSC)
Entity type:Individual
Prefix:
First Name:BRADY
Middle Name:
Last Name:KUENSTLER
Suffix:
Gender:F
Credentials:LPC, CSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 54
Mailing Address - Street 2:
Mailing Address - City:COTULLA
Mailing Address - State:TX
Mailing Address - Zip Code:78014-0054
Mailing Address - Country:US
Mailing Address - Phone:575-936-6131
Mailing Address - Fax:
Practice Address - Street 1:202 N MARKET
Practice Address - Street 2:
Practice Address - City:COTULLA
Practice Address - State:TX
Practice Address - Zip Code:78014-3194
Practice Address - Country:US
Practice Address - Phone:575-936-6131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90544101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional