Doctor Name: | ANGELA M KURTZ |
NPI Number: | 1336583384 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LLPC |
License Number: | 6401013617 |
Business Practice Address: | 117 W Genesee St Ste 9 Iron River, MI - 499351497 |
Business Phone Number: | 9062652000 |
Business Fax Number: | 9062652004 |
Mailing Address: | 113 4th St, P.o. Box 217 ALPHA |
State: | MI |
Postal Code: | 49902 |
Phone Number: | 9062843420 |
Fax Number: | 9062652004 |
NPI Enumeration Date: | 04/22/2013 |
NPI Last Update Date: | 04/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6401013617 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |