Provider Demographics
NPI:1386729879
Name:CURTIS, LINDA GREEN (LPC)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:GREEN
Last Name:CURTIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2406 W AVENUE N
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76904-5094
Mailing Address - Country:US
Mailing Address - Phone:325-944-9100
Mailing Address - Fax:325-949-8744
Practice Address - Street 1:2406 W AVENUE N
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76904-5094
Practice Address - Country:US
Practice Address - Phone:325-944-9100
Practice Address - Fax:325-949-8744
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12528101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health