MEDICARE: MS. AYUMI KURTZ MFT

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
1	106H00000X	Marriage & Family Therapist	MFC 43307	CA
2	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1477764058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AYUMI KURTZ MFT

Provider Business Mailing Address
First Line	:	PO BOX 7271
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94537-7271
Country	:	US
Telephone Number	:	925-443-3434
Fax Number	:

Provider Business Practice Location Address
First Line	:	20253 REDWOOD RD STE A
Second Line	:
City	:	CASTRO VALLEY
State	:	CA
Zip	:	94546-4331
Country	:	US
Telephone Number	:	510-247-9831
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	05/29/2025

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