Provider Demographics
NPI:1659820512
Name:MCCURDY, PATRICIA JEAN (LADC, CCS)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:JEAN
Last Name:MCCURDY
Suffix:
Gender:F
Credentials:LADC, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2013 COUNTY RD
Mailing Address - Street 2:
Mailing Address - City:TRESCOTT TWP
Mailing Address - State:ME
Mailing Address - Zip Code:04652-5113
Mailing Address - Country:US
Mailing Address - Phone:207-615-5392
Mailing Address - Fax:207-387-2906
Practice Address - Street 1:2013 COUNTY RD
Practice Address - Street 2:
Practice Address - City:TRESCOTT TWP
Practice Address - State:ME
Practice Address - Zip Code:04652-5113
Practice Address - Country:US
Practice Address - Phone:207-615-5392
Practice Address - Fax:207-387-2906
Is Sole Proprietor?:No
Enumeration Date:2016-10-03
Last Update Date:2021-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICDP00638101YA0400X
MELC6727101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)