Individual
SAMUEL KURKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
5328 TALON RD, PACE, FL 32571-9660
(817) 691-3470
Mailing address
5328 TALON RD, PACE, FL 32571-9660
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MH24513
FL
Other
Enumeration date
07/24/2018
Last updated
08/29/2025
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