| Doctor Name: | MRS. MICHELE LORANE KURANZ |
| NPI Number: | 1942496674 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA |
| License Number: | MH9057 |
| Business Practice Address: | 1100 S Ponce De Leon Blvd Ste 1 St. Augustine, FL - 32084 |
| Business Phone Number: | 9048247733 |
| Business Fax Number: | 9048299768 |
| Mailing Address: | 1100 S Ponce De Leon Blvd Ste 1, ST AUGUSTINE |
| State: | FL |
| Postal Code: | 320846013 |
| Phone Number: | 9048247733 |
| Fax Number: | 9048299768 |
| NPI Enumeration Date: | 09/17/2007 |
| NPI Last Update Date: | 09/17/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH9057 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |