MEDICARE: MARY K. CURLEY, M.A., LPC

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	10636	TX

General Provider Information

NPI Number	:	1306155627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARY K. CURLEY, M.A., LPC

Provider Business Mailing Address
First Line	:	4171 N MESA ST STE A106
Second Line	:	THE COMMONS
City	:	EL PASO
State	:	TX
Zip	:	79902-1422
Country	:	US
Telephone Number	:	915-532-3335
Fax Number	:	915-581-7980

Provider Business Practice Location Address
First Line	:	4171 N MESA ST STE A106
Second Line	:	THE COMMONS
City	:	EL PASO
State	:	TX
Zip	:	79902-1422
Country	:	US
Telephone Number	:	915-532-3335
Fax Number	:	915-581-7980

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARY K CURLEY
Credential	:	LPC
Telephone Number	:	915-532-3335

Provider Enumeration Date	:	10/04/2010
Last Update Date	:	10/04/2010

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