Doctor Name: | MRS. SANDRA ANN CURRIE |
NPI Number: | 1033234653 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | MH8366 |
Business Practice Address: | 1743 County Road 220 Orange Park, FL - 320037917 |
Business Phone Number: | 9042696907 |
Business Fax Number: | 9042152036 |
Mailing Address: | 1916 Lake Forest Ln, FLEMING ISLAND |
State: | FL |
Postal Code: | 320038660 |
Phone Number: | 9042696907 |
Fax Number: | 9042152036 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 04/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH8366 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |