MEDICARE: CHANTAL CURRY

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1467714808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHANTAL CURRY

Provider Business Mailing Address
First Line	:	8418 CANDLEWOOD DR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-4411
Country	:	US
Telephone Number	:	405-248-6300
Fax Number	:

Provider Business Practice Location Address
First Line	:	8418 CANDLEWOOD DR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-4411
Country	:	US
Telephone Number	:	405-248-6300
Fax Number	:

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

Provider Enumeration Date	:	06/12/2012
Last Update Date	:	06/12/2012

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