MEDICARE: CURRAN M OTIS LMHC, NCC

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

General Provider Information

NPI Number	:	1831683580
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CURRAN M OTIS LMHC, NCC

Provider Business Mailing Address
First Line	:	3204 SMOKEY POINT DR STE 205
Second Line	:
City	:	ARLINGTON
State	:	WA
Zip	:	98223-8476
Country	:	US
Telephone Number	:	360-674-0787
Fax Number	:	360-925-3191

Provider Business Practice Location Address
First Line	:	3204 SMOKEY POINT DR STE 205
Second Line	:
City	:	ARLINGTON
State	:	WA
Zip	:	98223-8476
Country	:	US
Telephone Number	:	360-674-0787
Fax Number	:	360-925-3191

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

Provider Enumeration Date	:	06/17/2018
Last Update Date	:	09/15/2022

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