Provider Demographics
NPI:1619610144
Name:CURRY, DONELL MONTE SR (DRUG & ALCOHOL COUSE)
Entity Type:Individual
Prefix:
First Name:DONELL
Middle Name:MONTE
Last Name:CURRY
Suffix:SR
Gender:M
Credentials:DRUG & ALCOHOL COUSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:477 PALMILLA PL
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95407-5855
Mailing Address - Country:US
Mailing Address - Phone:707-624-5742
Mailing Address - Fax:
Practice Address - Street 1:477 PALMILLA PL
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95407-5855
Practice Address - Country:US
Practice Address - Phone:707-624-5742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)