Jzua Kurniawanto
Jzua Kurniawanto is a Counselor in Frederick, Maryland. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 5
Practice location Address checks out
8654 Indian Springs RdFrederick, MD 21702-2328
Phone: (240) 383-5874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|---|
| Counselor | Taxonomy 101Y00000X |
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
| Mental Health Counselor | Taxonomy 101YM0800X |
| Social Worker | Taxonomy 104100000X |
Record details
| NPI number | 1063271062 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 13, 2024 |
| Last updated in NPPES | March 13, 2024 |
| Certification date | March 13, 2024 |
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