Provider Demographics
NPI:1922177104
Name:KURETSCH, KARAN JOY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KARAN
Middle Name:JOY
Last Name:KURETSCH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1293 HENDERSONVILLE RD BUILDING A STE 9
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803
Mailing Address - Country:US
Mailing Address - Phone:828-275-5896
Mailing Address - Fax:828-676-1224
Practice Address - Street 1:1293 HENDERSONVILLE RD BUILDING A STE 9
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803
Practice Address - Country:US
Practice Address - Phone:828-275-5896
Practice Address - Fax:828-676-1224
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0035351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC137HROtherBCBS
NC6002773Medicaid