Provider Demographics
NPI:1518361484
Name:CURRIER, EDWARD J (BS, MS, LMHC)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:J
Last Name:CURRIER
Suffix:
Gender:M
Credentials:BS, MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2986 DITMAR ROAD
Mailing Address - Street 2:
Mailing Address - City:WEEDSPORT
Mailing Address - State:NY
Mailing Address - Zip Code:13166
Mailing Address - Country:US
Mailing Address - Phone:315-766-8871
Mailing Address - Fax:315-488-4904
Practice Address - Street 1:34 WRIGHT AVE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021
Practice Address - Country:US
Practice Address - Phone:315-766-8871
Practice Address - Fax:315-488-4904
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-21
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005236-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health