Provider Demographics
NPI:1033634571
Name:KURAS, EDWARD (LCPC, MA)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:
Last Name:KURAS
Suffix:
Gender:M
Credentials:LCPC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1791 W HOWARD ST UNIT 401
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626-6151
Mailing Address - Country:US
Mailing Address - Phone:312-292-7782
Mailing Address - Fax:
Practice Address - Street 1:1791 W HOWARD ST UNIT 401
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60626-6151
Practice Address - Country:US
Practice Address - Phone:312-292-7782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-05
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180015241101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health