Anna Marie Curtis

Individual provider Active NPI Professional Counselor · Bloomfield, NM

NPI 1316243629 · NPPES record last updated Apr 24, 2023

Key facts

NPI
1316243629
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
CTB-2023-0333 (NM)
Practice address
325 N Bergin LN
Bloomfield, NM 87413-6729
Phone
(505) 632-4321
NPI assigned
Feb 3, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
CTB-2023-0333NMMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CTB-2023-0333 NM Yes

Addresses

Primary practice location

325 N Bergin LN
Bloomfield, NM 87413-6729

Mailing address

4100 Magnolia LN
Farmington, NM 87402-4717
Phone (575) 840-4728

Other names

  • Anna Marie Clark Former name

Other providers in Bloomfield, NM

All providers in Bloomfield, NM · Professional Counselor in New Mexico

Sources for this page

Verify at the official NPI Registry.