Doctor Name: | MS. CAROLYN JEAN COURTNEY |
NPI Number: | 1447245055 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA LPC NCC |
License Number: | 001755 |
Business Practice Address: | 3100 Broadway St Ste 1104 Kansas City, MO - 641112658 |
Business Phone Number: | 8167533333 |
Business Fax Number: | 8167537744 |
Mailing Address: | 3100 Broadway St, Ste 1104 KANSAS CITY |
State: | MO |
Postal Code: | 641112658 |
Phone Number: | 8167533333 |
Fax Number: | 8167537744 |
NPI Enumeration Date: | 09/20/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 001755 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |