Doctor Name: | CHRISTINE CURLESS |
NPI Number: | 1356608111 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | 39002649A |
Business Practice Address: | 3563 S State Road 13 Attn: Rachel Hurst Wabash, IN - 469929162 |
Business Phone Number: | 2605638453 |
Business Fax Number: | 2605690335 |
Mailing Address: | 3563 S State Road 13, Attn: Rachel Hurst WABASH |
State: | IN |
Postal Code: | 469929162 |
Phone Number: | 2605638453 |
Fax Number: | 2605690335 |
NPI Enumeration Date: | 04/18/2012 |
NPI Last Update Date: | 01/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 39002649A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |