Provider Demographics
NPI:1881921393
Name:KURTZ, KARLA MONICA (MA)
Entity type:Individual
Prefix:MS
First Name:KARLA
Middle Name:MONICA
Last Name:KURTZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3040 118TH AVE SE
Mailing Address - Street 2:H-104
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-8109
Mailing Address - Country:US
Mailing Address - Phone:425-457-4173
Mailing Address - Fax:
Practice Address - Street 1:3040 118TH AVE SE
Practice Address - Street 2:APT H-104
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-8109
Practice Address - Country:US
Practice Address - Phone:425-457-4173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-05
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health