Healthcare Provider Details

I. General information

NPI: 1578261129
Provider Name (Legal Business Name): ANAMARIA KURKOWSKI MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2023
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3135 S STATE ST STE 108
ANN ARBOR MI
48108-1653
US

IV. Provider business mailing address

3135 S STATE ST STE 108
ANN ARBOR MI
48108-1653
US

V. Phone/Fax

Practice location:
  • Phone: 734-369-3180
  • Fax: 734-369-3136
Mailing address:
  • Phone: 734-369-3180
  • Fax: 734-369-3136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number26115040401
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: