Provider Demographics
NPI:1104916410
Name:CURRI, MARK W (LMFT)
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:W
Last Name:CURRI
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 AVENIDA VILLA HERMOSA UNIT 207
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87506-4536
Mailing Address - Country:US
Mailing Address - Phone:203-521-4955
Mailing Address - Fax:
Practice Address - Street 1:1600 LENA STREET
Practice Address - Street 2:BUILDING 'C' , SUITE 3
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-4536
Practice Address - Country:US
Practice Address - Phone:203-521-4955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-15
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCMF0202501106H00000X
CTCT000590106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty