Individual
JACKIE KURTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
132 JOE KNOX AVE STE 100E, MOORESVILLE, NC 28117-9203
(704) 682-0384
(704) 353-7944
Mailing address
148 SWEETBRIAR LN, MOORESVILLE, NC 28115-9333
(704) 682-0384
(704) 353-7944
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11767
NC
Other
Enumeration date
10/18/2015
Last updated
03/25/2019
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