Provider Demographics
NPI:1043603855
Name:CURTIS, BRIAN LARKIN (LPC)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:LARKIN
Last Name:CURTIS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 ADDISON AVE W
Mailing Address - Street 2:STE. 103
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-5851
Mailing Address - Country:US
Mailing Address - Phone:208-737-0572
Mailing Address - Fax:
Practice Address - Street 1:7803 NE FOURTH PLAIN BLVD STE A
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-7294
Practice Address - Country:US
Practice Address - Phone:360-566-4432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-18
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-5803101YM0800X
WALH60707671101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health