Provider Demographics
NPI:1780721555
Name:CURRY, KAREN DIANNE (MFT)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:DIANNE
Last Name:CURRY
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:CURRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MFT
Mailing Address - Street 1:901 SAMUEL DR
Mailing Address - Street 2:
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94952-1829
Mailing Address - Country:US
Mailing Address - Phone:707-479-5186
Mailing Address - Fax:707-559-5289
Practice Address - Street 1:205 KELLER ST STE 202A
Practice Address - Street 2:
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94952-2878
Practice Address - Country:US
Practice Address - Phone:707-479-5186
Practice Address - Fax:707-559-5289
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40953106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist