Provider Demographics
NPI:1548458136
Name:COURTNEY, MONICA GABRIELLE (BA COUNSELOR)
Entity type:Individual
Prefix:MS
First Name:MONICA
Middle Name:GABRIELLE
Last Name:COURTNEY
Suffix:
Gender:F
Credentials:BA COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 DIXIE PLZ
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-5881
Mailing Address - Country:US
Mailing Address - Phone:318-357-9009
Mailing Address - Fax:318-357-9008
Practice Address - Street 1:430 DIXIE PLZ
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457
Practice Address - Country:US
Practice Address - Phone:318-357-9009
Practice Address - Fax:318-357-9008
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health