Healthcare Provider Details

I. General information

NPI: 1790025427
Provider Name (Legal Business Name): KEN J CURRY LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2013
Last Update Date: 02/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7921 SOUTHPARK PLZ
LITTLETON CO
80120-5630
US

IV. Provider business mailing address

8898 S ALLISON ST
LITTLETON CO
80128-6903
US

V. Phone/Fax

Practice location:
  • Phone: 720-489-8555
  • Fax:
Mailing address:
  • Phone: 720-335-0284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1019
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: