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NPI Code Detail

MEDICARE: MISS COURTNEY COLE WHITAKER LCPC

MEDICARE: MISS COURTNEY COLE WHITAKER LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst
2101YP2500XProfessional CounselorCI1245NV

General Provider Information

NPI Number : 1730528993
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS COURTNEY COLE WHITAKER LCPC
Provider Business Mailing Address
First Line : 1250 WIGWAM PKWY UNIT 7201
Second Line :
City : HENDERSON
State : NV
Zip : 89074-8361
Country : US
Telephone Number : 702-379-3890
Fax Number :
Provider Business Practice Location Address
First Line : 3247 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2412
Country : US
Telephone Number : 702-776-3500
Fax Number : 725-201-3314
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2013
Last Update Date : 03/07/2023

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Directions to “ MISS COURTNEY COLE WHITAKER LCPC” Practice Location

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