Provider Demographics
NPI:1992096713
Name:CURTIS, KASEY ANN (MA, LMFT)
Entity type:Individual
Prefix:
First Name:KASEY
Middle Name:ANN
Last Name:CURTIS
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3932 WOODLAND PARK AVE N
Mailing Address - Street 2:APT. 4
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-7985
Mailing Address - Country:US
Mailing Address - Phone:206-496-7508
Mailing Address - Fax:
Practice Address - Street 1:3932 WOODLAND PARK AVE N
Practice Address - Street 2:APT. 4
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-7985
Practice Address - Country:US
Practice Address - Phone:206-496-7508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-27
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1982106H00000X
WALF60393657106H00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health