Provider Demographics
NPI:1538586854
Name:CURRY, ALETA BLANCHE (LLPC)
Entity type:Individual
Prefix:MS
First Name:ALETA
Middle Name:BLANCHE
Last Name:CURRY
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30990 STONE RIDGE DR
Mailing Address - Street 2:APT 215
Mailing Address - City:WIXOM
Mailing Address - State:MI
Mailing Address - Zip Code:48393-3897
Mailing Address - Country:US
Mailing Address - Phone:248-330-1161
Mailing Address - Fax:
Practice Address - Street 1:1051 ARLENE AVE
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48340-2904
Practice Address - Country:US
Practice Address - Phone:248-451-7365
Practice Address - Fax:248-451-7370
Is Sole Proprietor?:No
Enumeration Date:2014-03-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401012893101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6401012893OtherMICHIGAN LICENSE