Provider Demographics
NPI:1235657388
Name:ALBIN, COURTNEY (MAC, LPC, CAADC)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:ALBIN
Suffix:
Gender:F
Credentials:MAC, LPC, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:862 MERRIFIELD ST SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49507-3336
Mailing Address - Country:US
Mailing Address - Phone:616-322-9517
Mailing Address - Fax:
Practice Address - Street 1:2504 ARDMORE ST SE STE 202B
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49506-4901
Practice Address - Country:US
Practice Address - Phone:616-209-9192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-08
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)