Healthcare Provider Details

I. General information

NPI: 1619104197
Provider Name (Legal Business Name): CHRISTOPHER RYAN CURRAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2009
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 MAIN ST
BRIDGEWATER MA
02324-1409
US

IV. Provider business mailing address

19 12TH AVE
HALIFAX MA
02338-1309
US

V. Phone/Fax

Practice location:
  • Phone: 339-309-9883
  • Fax:
Mailing address:
  • Phone: 339-309-9883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: