Provider Demographics
NPI:1841340684
Name:KURTZ, JEAN S (RN, MA, LPC)
Entity type:Individual
Prefix:
First Name:JEAN
Middle Name:S
Last Name:KURTZ
Suffix:
Gender:F
Credentials:RN, MA, LPC
Other - Prefix:
Other - First Name:JEANNE
Other - Middle Name:LACEY
Other - Last Name:STEINGASS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:111 PARK VIEW LN STE 201
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-5406
Mailing Address - Country:US
Mailing Address - Phone:304-281-3652
Mailing Address - Fax:844-266-2411
Practice Address - Street 1:111 PARK VIEW LN STE 201
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-5406
Practice Address - Country:US
Practice Address - Phone:304-281-3652
Practice Address - Fax:844-266-2411
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1821101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health