Healthcare Provider Details

I. General information

NPI: 1205131760
Provider Name (Legal Business Name): KAREN B. KURAK LCMHC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2011
Last Update Date: 04/10/2024
Certification Date: 04/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 WILLIAMS ST
BRATTLEBORO VT
05301-6212
US

IV. Provider business mailing address

744 STICKNEY BROOK RD
DUMMERSTON VT
05301-8670
US

V. Phone/Fax

Practice location:
  • Phone: 513-720-5533
  • Fax:
Mailing address:
  • Phone: 513-720-5533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number068.0134237
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE-1000055
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: