Provider Demographics
NPI:1407058811
Name:CLAUSEN, CURTIS CRAIG (MA, PLPC)
Entity Type:Individual
Prefix:MR
First Name:CURTIS
Middle Name:CRAIG
Last Name:CLAUSEN
Suffix:
Gender:M
Credentials:MA, PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21974 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:REEDS SPRING
Mailing Address - State:MO
Mailing Address - Zip Code:65737-9748
Mailing Address - Country:US
Mailing Address - Phone:417-272-1763
Mailing Address - Fax:417-272-1793
Practice Address - Street 1:21974 MAIN ST
Practice Address - Street 2:
Practice Address - City:REEDS SPRING
Practice Address - State:MO
Practice Address - Zip Code:65737-9748
Practice Address - Country:US
Practice Address - Phone:417-272-1763
Practice Address - Fax:417-272-1793
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007014843101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor