Provider Demographics
NPI:1962808402
Name:CURRY, LAURA ANN (MA, LMFT)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:ANN
Last Name:CURRY
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:MISS
Other - First Name:LAURA
Other - Middle Name:ANN
Other - Last Name:DODGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 571
Mailing Address - Street 2:
Mailing Address - City:GARDEN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95633-0571
Mailing Address - Country:US
Mailing Address - Phone:530-303-7020
Mailing Address - Fax:
Practice Address - Street 1:6290 MAIN STREET
Practice Address - Street 2:SUITE D
Practice Address - City:GEORGETOWN
Practice Address - State:CA
Practice Address - Zip Code:95634
Practice Address - Country:US
Practice Address - Phone:530-303-7020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-11
Last Update Date:2024-06-04
Deactivation Date:2019-03-15
Deactivation Code:
Reactivation Date:2019-04-17
Provider Licenses
StateLicense IDTaxonomies
CA113832106H00000X, 101Y00000X, 101YM0800X, 171M00000X, 251S00000X, 261QM0801X
CALMFT113832261QM0855X, 101YA0400X, 101YS0200X, 106H00000X, 261QM0801X, 261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health