MEDICARE: MS. MELISSA C.K. CURTIS M.A., LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LH00010777	WA

General Provider Information

NPI Number	:	1396986832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MELISSA C.K. CURTIS M.A., LMHC

Provider Business Mailing Address
First Line	:	1944 PACIFIC AVE STE 306
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98402-3121
Country	:	US
Telephone Number	:	253-888-2773
Fax Number	:	253-572-9958

Provider Business Practice Location Address
First Line	:	1944 PACIFIC AVE STE 306
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98402-3121
Country	:	US
Telephone Number	:	253-888-2773
Fax Number	:	253-572-9958

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2009
Last Update Date	:	01/26/2021

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