Provider Demographics
NPI:1912969411
Name:CURTIS, PATRICIA INGHRAM (LMHC)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:INGHRAM
Last Name:CURTIS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:ANN
Other - Last Name:INGHRAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:719 JADWIN AVE # 16
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4217
Mailing Address - Country:US
Mailing Address - Phone:509-943-7016
Mailing Address - Fax:509-943-2129
Practice Address - Street 1:719 JADWIN AVE
Practice Address - Street 2:SUITE 16
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4217
Practice Address - Country:US
Practice Address - Phone:509-943-7016
Practice Address - Fax:509-967-4754
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-03
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00007538101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA890-2874OtherCRIME VICTIMS/L&I
WALH00007538OtherLICENSED COUNSELOR
WA202213578-99352OtherTRI-CARE/TRI-WEST
WA2211205Medicaid