Provider Demographics
NPI:1821487000
Name:CURRY, SALLY KATRINA (MA, DVATI, MFTI)
Entity Type:Individual
Prefix:MS
First Name:SALLY
Middle Name:KATRINA
Last Name:CURRY
Suffix:
Gender:F
Credentials:MA, DVATI, MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 OAKDALE ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-2451
Mailing Address - Country:US
Mailing Address - Phone:916-337-9901
Mailing Address - Fax:
Practice Address - Street 1:555 OAKDALE ST
Practice Address - Street 2:SUITE F
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-2451
Practice Address - Country:US
Practice Address - Phone:916-337-9901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-12
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAINTERN #56814106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist