Provider Demographics
NPI:1255542973
Name:CURELO, JOHANNA (LPC, ATR-BC)
Entity type:Individual
Prefix:MRS
First Name:JOHANNA
Middle Name:
Last Name:CURELO
Suffix:
Gender:F
Credentials:LPC, ATR-BC
Other - Prefix:MISS
Other - First Name:JOHANNA
Other - Middle Name:
Other - Last Name:MOELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1975 MCPHERSON ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:NORTH BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97459-3482
Mailing Address - Country:US
Mailing Address - Phone:541-756-2020
Mailing Address - Fax:541-756-8982
Practice Address - Street 1:375 PARK AVE STE 2
Practice Address - Street 2:
Practice Address - City:COOS BAY
Practice Address - State:OR
Practice Address - Zip Code:97420-2242
Practice Address - Country:US
Practice Address - Phone:541-435-0304
Practice Address - Fax:541-394-4142
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC2330101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health