Provider Demographics
NPI:1700453917
Name:CURETON, JENSEN MIKAYLA STILL (MA, LPA, HSP-PA)
Entity Type:Individual
Prefix:
First Name:JENSEN
Middle Name:MIKAYLA STILL
Last Name:CURETON
Suffix:
Gender:F
Credentials:MA, LPA, HSP-PA
Other - Prefix:
Other - First Name:JENSEN
Other - Middle Name:MIKAYLA
Other - Last Name:STILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CPA
Mailing Address - Street 1:508 WELSHCREST CT
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-1924
Mailing Address - Country:US
Mailing Address - Phone:423-340-2282
Mailing Address - Fax:
Practice Address - Street 1:9 W SUMMIT AVE STE B
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-0047
Practice Address - Country:US
Practice Address - Phone:828-845-4089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5908103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist