Provider Demographics
NPI:1922469113
Name:CURTIS, KATHLEEN M (LCPC)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:M
Last Name:CURTIS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 W CUSTER AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59602-0106
Mailing Address - Country:US
Mailing Address - Phone:406-442-3869
Mailing Address - Fax:406-513-1139
Practice Address - Street 1:104 W CUSTER AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59602-0106
Practice Address - Country:US
Practice Address - Phone:406-442-3869
Practice Address - Fax:406-513-1139
Is Sole Proprietor?:No
Enumeration Date:2016-03-15
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT731-LCPC101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional