Provider Demographics
NPI:1194035303
Name:COURTNEY, KRISTINE B (MS, CGC)
Entity Type:Individual
Prefix:
First Name:KRISTINE
Middle Name:B
Last Name:COURTNEY
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8160 WALNUT HILL LN
Mailing Address - Street 2:SUITE 324
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4339
Mailing Address - Country:US
Mailing Address - Phone:214-696-5757
Mailing Address - Fax:214-696-5674
Practice Address - Street 1:8160 WALNUT HILL LN
Practice Address - Street 2:SUITE 324
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4339
Practice Address - Country:US
Practice Address - Phone:214-696-5757
Practice Address - Fax:214-696-5674
Is Sole Proprietor?:No
Enumeration Date:2010-10-21
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS