Provider Demographics
NPI:1750307856
Name:TUFFIN, CURTIS B (MALPC)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:B
Last Name:TUFFIN
Suffix:
Gender:M
Credentials:MALPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 N MAIN ST
Mailing Address - Street 2:STE 640
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81003-3174
Mailing Address - Country:US
Mailing Address - Phone:719-542-6000
Mailing Address - Fax:719-542-6037
Practice Address - Street 1:503 N MAIN ST
Practice Address - Street 2:STE 640
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81003-3174
Practice Address - Country:US
Practice Address - Phone:719-542-6000
Practice Address - Fax:719-542-6037
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO289101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health