| Doctor Name: | BRIAN LARKIN CURTIS |
| NPI Number: | 1043603855 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | LPC-5803 |
| Business Practice Address: | 650 Addison Ave W Ste. 103 Twin Falls, ID - 833015851 |
| Business Phone Number: | 2087370572 |
| Business Fax Number: | |
| Mailing Address: | 650 Addison Ave W, Ste. 103 TWIN FALLS |
| State: | ID |
| Postal Code: | 833015851 |
| Phone Number: | 2087370572 |
| Fax Number: | |
| NPI Enumeration Date: | 03/18/2015 |
| NPI Last Update Date: | 03/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LPC-5803 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |