Provider Demographics
NPI:1750693388
Name:KURCSAK, MARK SPURGEON (PCC)
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:SPURGEON
Last Name:KURCSAK
Suffix:
Gender:M
Credentials:PCC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4792 MUNSON ST NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-3630
Mailing Address - Country:US
Mailing Address - Phone:330-494-4636
Mailing Address - Fax:330-494-5861
Practice Address - Street 1:444 N MAIN ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-3110
Practice Address - Country:US
Practice Address - Phone:330-379-5078
Practice Address - Fax:330-379-5311
Is Sole Proprietor?:No
Enumeration Date:2010-07-12
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHE0500575101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional