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NPI Code Detail

MEDICARE: SIEARAH ADRIANNA CURRY

MEDICARE: SIEARAH ADRIANNA 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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1588163141
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIEARAH ADRIANNA CURRY
Provider Business Mailing Address
First Line : 4150 ILLINOIS RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-1208
Country : US
Telephone Number : 260-240-4945
Fax Number :
Provider Business Practice Location Address
First Line : 4150 ILLINOIS RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-1208
Country : US
Telephone Number : 260-240-4945
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2018
Last Update Date : 03/21/2024

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Directions to “ SIEARAH ADRIANNA CURRY ” Practice Location

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