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General NPI Number Information
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NPI Number | 1376072744
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Entity Type | Organization
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Legal Business Name | CORINNE KURTH, LPC, PLLC
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 06/08/2017
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Provider Practice Location Address
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Address Line | 31320 INTERSTATE 10 W STE A
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City | BOERNE
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State | TX
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Zip | 78006-5028
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Country | US
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Telephone | 210-425-3440
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Fax |
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Provider Business Mailing Address
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Address Line | 30012 CANTOR CIR
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City | FAIR OAKS RANCH
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State | TX
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Zip | 78015-4449
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Country | US
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Telephone | 210-425-3440
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MRS. CORINNE KURTH
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Credential | LPC
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Telephone | 210-425-3440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 18565
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License Number State | TX
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