Provider Demographics
NPI:1811576994
Name:CURTIS, JOHN (CT)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:CURTIS
Suffix:
Gender:M
Credentials:CT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 305
Mailing Address - Street 2:
Mailing Address - City:SAND POINT
Mailing Address - State:AK
Mailing Address - Zip Code:99661-0305
Mailing Address - Country:US
Mailing Address - Phone:907-299-7996
Mailing Address - Fax:
Practice Address - Street 1:172 RED COVE RD
Practice Address - Street 2:
Practice Address - City:SAND POINT
Practice Address - State:AK
Practice Address - Zip Code:99661
Practice Address - Country:US
Practice Address - Phone:907-383-3151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-06
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)