Provider Demographics
NPI:1679238000
Name:KURZ, MARIA RENEE (LPC)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:RENEE
Last Name:KURZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 W ORANGE ST APT 3
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-3762
Mailing Address - Country:US
Mailing Address - Phone:479-226-6383
Mailing Address - Fax:
Practice Address - Street 1:1803 OREGON PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6401
Practice Address - Country:US
Practice Address - Phone:717-560-9969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-01
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013889101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional