Provider Demographics
NPI:1205131760
Name:KURAK, KAREN B (LCMHC, LPC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:B
Last Name:KURAK
Suffix:
Gender:F
Credentials:LCMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 STICKNEY BROOK RD
Mailing Address - Street 2:
Mailing Address - City:DUMMERSTON
Mailing Address - State:VT
Mailing Address - Zip Code:05301-8670
Mailing Address - Country:US
Mailing Address - Phone:513-720-5533
Mailing Address - Fax:
Practice Address - Street 1:28 WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-6212
Practice Address - Country:US
Practice Address - Phone:513-720-5533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-14
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-1000055101YP2500X
VT068.0134237101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional