Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | MO |
NPI | 1003133497 |
---|---|
Provider Name | Jill Allison Curtis |
First Address | Blue Springs, MO 64015-6295 |
Second Address | Blue Springs, MO 64015-6295 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2010 |
Last Update Date | 26/04/2010 |