Provider Demographics
NPI:1518731983
Name:PUMPHREY, COURTNEY JEAN
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:JEAN
Last Name:PUMPHREY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3316 LAVERNE AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-4122
Mailing Address - Country:US
Mailing Address - Phone:661-308-8000
Mailing Address - Fax:
Practice Address - Street 1:3316 LAVERNE AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-4122
Practice Address - Country:US
Practice Address - Phone:661-308-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)