Doctor Name: | DR. WILLIE JAMES CURRY |
NPI Number: | 1417293499 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | TH. D, BCPC |
License Number: | |
Business Practice Address: | 571 Old Route 66 Saint Robert, MO - 65584 |
Business Phone Number: | 5733362336 |
Business Fax Number: | 5734512612 |
Mailing Address: | Po Box 637, SAINT ROBERT |
State: | MO |
Postal Code: | 655840637 |
Phone Number: | 5733362336 |
Fax Number: | 5734512612 |
NPI Enumeration Date: | 12/20/2012 |
NPI Last Update Date: | 12/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |