Provider Demographics
NPI:1639283666
Name:COURTEAU, PAUL FRANCIS (PHD, LCPC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:FRANCIS
Last Name:COURTEAU
Suffix:
Gender:M
Credentials:PHD, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:STEVENSVILLE
Mailing Address - State:MT
Mailing Address - Zip Code:59870-2908
Mailing Address - Country:US
Mailing Address - Phone:406-381-0781
Mailing Address - Fax:406-777-2806
Practice Address - Street 1:1903 S RUSSELL ST
Practice Address - Street 2:SUITE 5
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-6603
Practice Address - Country:US
Practice Address - Phone:406-532-1615
Practice Address - Fax:406-532-1616
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTLCPC 579101YM0800X
COLPC 664101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT740350OtherBLUE CROSS BLUE SHIELD