Provider Demographics
NPI:1609430024
Name:KURR, KELSEY JAYNE (LMHC)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:JAYNE
Last Name:KURR
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:JAYNE
Other - Last Name:RUDECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:29 WALKER ST
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:MA
Mailing Address - Zip Code:02766-1113
Mailing Address - Country:US
Mailing Address - Phone:978-707-9162
Mailing Address - Fax:
Practice Address - Street 1:29 WALKER ST
Practice Address - Street 2:
Practice Address - City:NORTON
Practice Address - State:MA
Practice Address - Zip Code:02766-1113
Practice Address - Country:US
Practice Address - Phone:978-707-9162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-01
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMHC13300101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health