Healthcare Provider Details

I. General information

NPI: 1023290202
Provider Name (Legal Business Name): NICOLE M. CURTIS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2007
Last Update Date: 01/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

644 UNIVERSITY BLVD
HARRISONBURG VA
22801-3750
US

IV. Provider business mailing address

PO BOX 1430 HARRISONBURG
HARRISONBURG VA
22803-1430
US

V. Phone/Fax

Practice location:
  • Phone: 540-564-5960
  • Fax: 540-433-4338
Mailing address:
  • Phone: 540-560-5960
  • Fax: 540-433-4338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701004282
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: