Provider Demographics
NPI:1376770529
Name:DEVANEY-CURTIS, ALICE C (LCPC)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:C
Last Name:DEVANEY-CURTIS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15137 YORK RD
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:MD
Mailing Address - Zip Code:21152-9672
Mailing Address - Country:US
Mailing Address - Phone:410-321-5781
Mailing Address - Fax:410-296-0260
Practice Address - Street 1:606 BALTIMORE AVE
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-4026
Practice Address - Country:US
Practice Address - Phone:410-321-5781
Practice Address - Fax:410-296-0260
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-15
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC3026101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional