Healthcare Provider Details

I. General information

NPI: 1831683580
Provider Name (Legal Business Name): CURRAN M OTIS LMHC, NCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2018
Last Update Date: 09/15/2022
Certification Date: 09/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3204 SMOKEY POINT DR STE 205
ARLINGTON WA
98223-8476
US

IV. Provider business mailing address

3204 SMOKEY POINT DR STE 205
ARLINGTON WA
98223-8476
US

V. Phone/Fax

Practice location:
  • Phone: 360-674-0787
  • Fax: 360-925-3191
Mailing address:
  • Phone: 360-674-0787
  • Fax: 360-925-3191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: