Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1215260310 |
---|---|
Provider Name | Kristin Courtney |
First Address | Walnut Creek, CA 94597-7762 |
Second Address | Pittsburg, CA 94565-3937 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2009 |
Last Update Date | 23/09/2013 |