Provider Demographics
NPI:1043488786
Name:CURRY, JERRI (PHD, MFT)
Entity type:Individual
Prefix:DR
First Name:JERRI
Middle Name:
Last Name:CURRY
Suffix:
Gender:F
Credentials:PHD, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 SOLANO SQ
Mailing Address - Street 2:#321
Mailing Address - City:BENICIA
Mailing Address - State:CA
Mailing Address - Zip Code:94510-2712
Mailing Address - Country:US
Mailing Address - Phone:707-297-0550
Mailing Address - Fax:
Practice Address - Street 1:77 SOLANO SQ
Practice Address - Street 2:#321
Practice Address - City:BENICIA
Practice Address - State:CA
Practice Address - Zip Code:94510-2712
Practice Address - Country:US
Practice Address - Phone:707-297-0550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-15
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT19776101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health