Individual
LORI ANN KURTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LPB, LADC
Contact information
Practice address
130 A ST NE, SUITE 110, MIAMI, OK 74354-6332
(918) 533-0308
(918) 542-8815
Mailing address
1219 SKY LN, MIAMI, OK 74354-3841
(918) 533-0308
(918) 542-8815
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0141
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor
333
OK
101YP2500X
Professional Counselor
Primary
2718
OK
Other
Enumeration date
10/31/2008
Last updated
10/31/2008
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