Provider Demographics
NPI:1811287345
Name:CURL, MARY CAROLYN (LPC)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:CAROLYN
Last Name:CURL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 S GRAHAM ST
Mailing Address - Street 2:
Mailing Address - City:STEPHENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76401-4425
Mailing Address - Country:US
Mailing Address - Phone:254-968-4020
Mailing Address - Fax:254-965-3734
Practice Address - Street 1:409 S GRAHAM ST
Practice Address - Street 2:
Practice Address - City:STEPHENVILLE
Practice Address - State:TX
Practice Address - Zip Code:76401-4425
Practice Address - Country:US
Practice Address - Phone:254-968-4020
Practice Address - Fax:254-965-3734
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-18
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX59556101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor