Provider Demographics
NPI:1417293499
Name:CURRY, WILLIE JAMES (TH D, BCPC)
Entity Type:Individual
Prefix:DR
First Name:WILLIE
Middle Name:JAMES
Last Name:CURRY
Suffix:
Gender:M
Credentials:TH D, BCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 637
Mailing Address - Street 2:
Mailing Address - City:SAINT ROBERT
Mailing Address - State:MO
Mailing Address - Zip Code:65584-0637
Mailing Address - Country:US
Mailing Address - Phone:573-336-2336
Mailing Address - Fax:573-451-2612
Practice Address - Street 1:571 OLD ROUTE 66
Practice Address - Street 2:
Practice Address - City:SAINT ROBERT
Practice Address - State:MO
Practice Address - Zip Code:65584
Practice Address - Country:US
Practice Address - Phone:573-336-2336
Practice Address - Fax:573-451-2612
Is Sole Proprietor?:No
Enumeration Date:2012-12-20
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral