Kristen Leighanne Curtis Lcsw Llc | |
171 Lawrence St Eugene OR 97401-2221 | |
(458) 209-4272 | |
Not Available |
Full Name | Kristen Leighanne Curtis Lcsw Llc |
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Speciality | Counselor |
Location | 171 Lawrence St, Eugene, Oregon |
Authorized Official Name and Position | Kristen Leighanne Curtis (OWNER) |
Authorized Official Contact | 4582094272 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kristen Leighanne Curtis Lcsw Llc Po Box 12244 Eugene OR 97440-4444 Ph: (458) 209-4272 | Kristen Leighanne Curtis Lcsw Llc 171 Lawrence St Eugene OR 97401-2221 Ph: (458) 209-4272 |
NPI Number | 1942860408 |
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Provider Enumeration Date | 06/17/2019 |
Last Update Date | 07/05/2019 |
Medicare PECOS PAC ID | 4082940432 |
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Medicare Enrollment ID | O20190724000459 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942860408 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Kristen Leighanne Curtis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801148986 PECOS PAC ID: 4789955576 Enrollment ID: I20170814001129 |
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