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NPI Code Detail

MEDICARE: MS. SARA LYNN KURTZ LPC

MEDICARE: MS. SARA LYNN KURTZ LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor6401008511MI

General Provider Information

NPI Number : 1043406226
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SARA LYNN KURTZ LPC
Provider Business Mailing Address
First Line : 28335 GREENBRIAR WAY
Second Line :
City : BROWNSTOWN TWP
State : MI
Zip : 48183-5014
Country : US
Telephone Number : 734-642-7276
Fax Number :
Provider Business Practice Location Address
First Line : 4125 WASHTENAW AVE
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-1003
Country : US
Telephone Number : 734-973-4343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2007
Last Update Date : 08/23/2013

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