Provider Demographics
NPI:1568565596
Name:MULDER, CURTIS J (MA)
Entity Type:Individual
Prefix:MR
First Name:CURTIS
Middle Name:J
Last Name:MULDER
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10103 N. DIVISION
Mailing Address - Street 2:SUITE 109
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218
Mailing Address - Country:US
Mailing Address - Phone:509-467-1156
Mailing Address - Fax:509-468-0462
Practice Address - Street 1:10103 N. DIVISION
Practice Address - Street 2:SUITE 109
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218
Practice Address - Country:US
Practice Address - Phone:509-467-1156
Practice Address - Fax:509-468-0462
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00008675101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health