Curtis, Mark

Curtis, Mark is an individual health care provider with primary practice located at 1841 Madora Ave , Douglas WY 82633. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Curtis, Mark can be contacted via phone (307) 358-2846.

Contact Information

Primary practice address
1841 Madora Ave Douglas WY 82633
Phone: (307) 358-2846
Fax: (307) 358-1144
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC-725 Wyoming
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-725 Wyoming

Profile Details

NPI number 1578098711
LBN Legal business name Curtis, Mark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2017
Last updated May 21st, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578098711 NPPES
Wyoming MEDICAID 106402908
Wyoming MEDICAID 10640297

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