Provider Demographics
NPI:1396986832
Name:CURTIS, MELISSA CK (MA, LMHC)
Entity type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:CK
Last Name:CURTIS
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1944 PACIFIC AVE STE 306
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98402-3121
Mailing Address - Country:US
Mailing Address - Phone:253-888-2773
Mailing Address - Fax:253-572-9958
Practice Address - Street 1:1944 PACIFIC AVE STE 306
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-3121
Practice Address - Country:US
Practice Address - Phone:253-888-2773
Practice Address - Fax:253-572-9958
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-12
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00010777101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health