Provider Demographics
NPI:1649612904
Name:CURFMAN, LOCKE (LPC)
Entity type:Individual
Prefix:
First Name:LOCKE
Middle Name:
Last Name:CURFMAN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 A WOODBINE PL
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75601
Mailing Address - Country:US
Mailing Address - Phone:903-238-9050
Mailing Address - Fax:
Practice Address - Street 1:1705 JUDSON RD
Practice Address - Street 2:SUITE 103-A
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-2938
Practice Address - Country:US
Practice Address - Phone:903-238-9050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-26
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68502101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX326951601Medicaid