Doctor Name: | SETH CURTIS |
NPI Number: | 1023426236 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 113 Lincolnway E Mishawaka, IN - 465442016 |
Business Phone Number: | 5742554976 |
Business Fax Number: | 5742551882 |
Mailing Address: | 113 Lincolnway E, MISHAWAKA |
State: | IN |
Postal Code: | 465442016 |
Phone Number: | 5742554976 |
Fax Number: | 5742551882 |
NPI Enumeration Date: | 07/31/2014 |
NPI Last Update Date: | 07/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |