MEDICARE: LINDA T. CURTIS MA, ABD, LCPC, LLP

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	101Y00000X	Counselor	6401006903	MI
2	103T00000X	Psychologist	6301012154	MI
3	101YP2500X	Professional Counselor	CP0102	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366767956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA T. CURTIS MA, ABD, LCPC, LLP

Provider Business Mailing Address
First Line	:	3663 E SUNSET RD STE 102E
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3246
Country	:	US
Telephone Number	:	313-717-6255
Fax Number	:

Provider Business Practice Location Address
First Line	:	3663 E SUNSET RD STE 102E
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3246
Country	:	US
Telephone Number	:	313-717-6255
Fax Number	:

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

Provider Enumeration Date	:	04/07/2010
Last Update Date	:	07/17/2019

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