Individual
KEN CURTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSWI
Contact information
Practice address
190 W. MAIN STREET, KUNA, ID 83634
(208) 922-9001
(208) 922-3778
Mailing address
1914 N SUMMERWIND PL, KUNA, ID 83634-3463
(208) 922-9001
(208) 922-3778
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-4819
ID
104100000X
Social Worker
LSWI-27227
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806162000
—
ID
Enumeration date
12/05/2006
Last updated
07/21/2011
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