Provider Demographics
NPI:1457436925
Name:KURZ, MARLENE FRANCES (PCC)
Entity Type:Individual
Prefix:MS
First Name:MARLENE
Middle Name:FRANCES
Last Name:KURZ
Suffix:
Gender:F
Credentials:PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16975 DEER PATH DRIVE
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-6210
Mailing Address - Country:US
Mailing Address - Phone:440-572-3406
Mailing Address - Fax:
Practice Address - Street 1:15644 MADISON AVENUE
Practice Address - Street 2:SUITE #108
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-5622
Practice Address - Country:US
Practice Address - Phone:216-391-8336
Practice Address - Fax:330-487-0017
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE2984101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health