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NPI Code Detail

MEDICARE: MRS. AMY MICHELLE CURRY LPC

MEDICARE: MRS. AMY MICHELLE CURRY 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
1101YM0800XMental Health CounselorLPC-4892ID

General Provider Information

NPI Number : 1659612984
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMY MICHELLE CURRY LPC
Provider Business Mailing Address
First Line : 849 E FAIRVIEW AVE
Second Line :
City : MERIDIAN
State : ID
Zip : 83642-1806
Country : US
Telephone Number : 208-949-5886
Fax Number : 208-939-9009
Provider Business Practice Location Address
First Line : 849 E FAIRVIEW AVE
Second Line :
City : MERIDIAN
State : ID
Zip : 83642-1806
Country : US
Telephone Number : 208-949-5886
Fax Number : 208-939-9009
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2013
Last Update Date : 03/12/2013

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