MEDICARE: COURTNEY ALDEEN

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
1	101YP2500X	Professional Counselor	96196	TX

General Provider Information

NPI Number	:	1063163509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY ALDEEN

Provider Business Mailing Address
First Line	:	11882 GREENVILLE AVE STE B101
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-0586
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5015 ADDISON CIR # 1156
Second Line	:
City	:	ADDISON
State	:	TX
Zip	:	75001-3308
Country	:	US
Telephone Number	:	214-631-9208
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2022
Last Update Date	:	05/27/2026

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Directions to “ COURTNEY ALDEEN ” Practice Location

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