Provider Demographics
NPI:1780916023
Name:KURAN, MARINA (LMHC)
Entity type:Individual
Prefix:
First Name:MARINA
Middle Name:
Last Name:KURAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1042
Mailing Address - Street 2:
Mailing Address - City:MCCLEARY
Mailing Address - State:WA
Mailing Address - Zip Code:98557-1042
Mailing Address - Country:US
Mailing Address - Phone:360-861-8673
Mailing Address - Fax:
Practice Address - Street 1:138 S 1ST ST
Practice Address - Street 2:SUITE 3
Practice Address - City:MONTESANO
Practice Address - State:WA
Practice Address - Zip Code:98563-3623
Practice Address - Country:US
Practice Address - Phone:360-861-8673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-11
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60103666101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health