Doctor Name: | MARINA KURAN |
NPI Number: | 1780916023 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | LH60103666 |
Business Practice Address: | 138 S 1st St Suite 3 Montesano, WA - 985633623 |
Business Phone Number: | 3608618673 |
Business Fax Number: | |
Mailing Address: | Po Box 1042, MCCLEARY |
State: | WA |
Postal Code: | 985571042 |
Phone Number: | 3608618673 |
Fax Number: | |
NPI Enumeration Date: | 02/11/2010 |
NPI Last Update Date: | 09/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH60103666 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |