Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 87000393A | IN |
NPI | 1003145145 |
---|---|
Provider Name | Michelle R Curtis |
First Address | Louisville, KY 40202-3245 |
Second Address | New Albany, IN 47150-4916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2009 |
Last Update Date | 24/10/2020 |