Provider Demographics
NPI:1821120452
Name:KURZ, JANET GAY (MA, LMHC)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:GAY
Last Name:KURZ
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:GAY
Other - Last Name:FITCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:320 CHINOOK AVE APT G14
Mailing Address - Street 2:
Mailing Address - City:ENUMCLAW
Mailing Address - State:WA
Mailing Address - Zip Code:98022-3774
Mailing Address - Country:US
Mailing Address - Phone:253-426-5565
Mailing Address - Fax:253-276-4646
Practice Address - Street 1:320 CHINOOK AVE APT G14
Practice Address - Street 2:
Practice Address - City:ENUMCLAW
Practice Address - State:WA
Practice Address - Zip Code:98022-3774
Practice Address - Country:US
Practice Address - Phone:253-426-5565
Practice Address - Fax:253-276-4646
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60134770101YM0800X
WARN000143338101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2116625Medicaid