Individual
MRS. MICKEY CURTIS
Active
Individual
MRS. MICKEY CURTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LMSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3923
NM
101YM0800X
Mental Health Counselor
0472
NM
101YP2500X
Professional Counselor
Primary
0472
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18677037
—
NM
Enumeration date
04/13/2007
Last updated
04/13/2015
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