Most Relevant Information
Provider Data
| NPI Number: | 1003314295 |
| Provider Name: | NICOLE KUNTZ |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/23/2018 |
| Last Updated: | 05/02/2023 |
Provider Practice Location
4761 STATE ROUTE 29
CELINA
OH
458228216
Practice Location Phone/Fax
| Phone: | 4195841000 |
| Fax: |
Provider Mailing Location
4761 STATE ROUTE 29
CELINA
OH
458228216
Provider Mailing Phone/Fax
| Phone: | 4195841000 |
| Fax: |