Provider Demographics
NPI:1316379621
Name:COURTNEY, MONICA M (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MONICA
Middle Name:M
Last Name:COURTNEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 ALISO RIDGE LOOP
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-2369
Mailing Address - Country:US
Mailing Address - Phone:949-322-4002
Mailing Address - Fax:
Practice Address - Street 1:45 ALISO RIDGE LOOP
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-2369
Practice Address - Country:US
Practice Address - Phone:949-322-4002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-08
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS183091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical