Healthcare Provider Details

I. General information

NPI: 1861340770
Provider Name (Legal Business Name): JESSICA ANN VANBUREN CURTIS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 901
FLOYDS KNOBS IN
47119-0901
US

IV. Provider business mailing address

PO BOX 901
FLOYDS KNOBS IN
47119-0901
US

V. Phone/Fax

Practice location:
  • Phone: 774-200-8544
  • Fax:
Mailing address:
  • Phone: 774-200-8544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number34008180A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: