| Doctor Name: | MS. COURTNEY RENEE MORAN |
| NPI Number: | 1316268451 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSED., LMHC |
| License Number: | 001803 |
| Business Practice Address: | 650 Ridge Rd Lackawanna, NY - 142181435 |
| Business Phone Number: | 7168289743 |
| Business Fax Number: | 7168289747 |
| Mailing Address: | 650 Ridge Rd, LACKAWANNA |
| State: | NY |
| Postal Code: | 142181435 |
| Phone Number: | 7168289743 |
| Fax Number: | 7168289747 |
| NPI Enumeration Date: | 06/11/2010 |
| NPI Last Update Date: | 06/11/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 001803 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |