Provider Demographics
NPI:1932323300
Name:COURT, CHRISTIAN NDUKA I
Entity Type:Individual
Prefix:MR
First Name:CHRISTIAN
Middle Name:NDUKA
Last Name:COURT
Suffix:I
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1688 N PERRIS BLVD
Mailing Address - Street 2:SUITE L7-11
Mailing Address - City:PERRIS
Mailing Address - State:CA
Mailing Address - Zip Code:92571-4709
Mailing Address - Country:US
Mailing Address - Phone:951-443-2238
Mailing Address - Fax:951-443-2230
Practice Address - Street 1:1688 N PERRIS BLVD
Practice Address - Street 2:SUITE L7-11
Practice Address - City:PERRIS
Practice Address - State:CA
Practice Address - Zip Code:92571-4709
Practice Address - Country:US
Practice Address - Phone:951-443-2238
Practice Address - Fax:951-443-2230
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health