MEDICARE: MRS. JOHANNA CURELO LPC, ATR-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	C2330	OR

General Provider Information

NPI Number	:	1255542973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JOHANNA CURELO LPC, ATR-BC

Provider Business Mailing Address
First Line	:	1975 MCPHERSON ST
Second Line	:	SUITE 2
City	:	NORTH BEND
State	:	OR
Zip	:	97459-3482
Country	:	US
Telephone Number	:	541-756-2020
Fax Number	:	541-756-8982

Provider Business Practice Location Address
First Line	:	375 PARK AVE STE 2
Second Line	:
City	:	COOS BAY
State	:	OR
Zip	:	97420-2242
Country	:	US
Telephone Number	:	541-435-0304
Fax Number	:	541-394-4142

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	07/27/2022

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