Healthcare Provider Details

I. General information

NPI: 1023971959
Provider Name (Legal Business Name): COURTNEY PARKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 PLEASANT ST
CONCORD NH
03301-4006
US

IV. Provider business mailing address

42 PLEASANT ST
CONCORD NH
03301-4006
US

V. Phone/Fax

Practice location:
  • Phone: 184-452-4667
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1547
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: