Provider Demographics
NPI:1629234307
Name:KURPJUWEIT, LUANE (MFT)
Entity Type:Individual
Prefix:MS
First Name:LUANE
Middle Name:
Last Name:KURPJUWEIT
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21500 LASSEN ST SPC 185
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-7290
Mailing Address - Country:US
Mailing Address - Phone:818-886-1347
Mailing Address - Fax:
Practice Address - Street 1:21500 LASSEN ST SPC 185
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-7290
Practice Address - Country:US
Practice Address - Phone:818-886-1347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-01
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT39558106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist