Provider Demographics
NPI:1275839540
Name:HOVLAND, COURTNEY L (LPC)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:L
Last Name:HOVLAND
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:L
Other - Last Name:SPINDLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:345 FRENETTE DR STE 4
Mailing Address - Street 2:
Mailing Address - City:CHIPPEWA FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54729-3072
Mailing Address - Country:US
Mailing Address - Phone:715-861-7762
Mailing Address - Fax:
Practice Address - Street 1:345 FRENETTE DR STE 4
Practice Address - Street 2:
Practice Address - City:CHIPPEWA FALLS
Practice Address - State:WI
Practice Address - Zip Code:54729-3072
Practice Address - Country:US
Practice Address - Phone:715-861-7762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-04
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4523-125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health