Provider Demographics
NPI:1942894142
Name:WILLIAMSON, COURTNEY BROOKE (ALC, NCC)
Entity Type:Individual
Prefix:MISS
First Name:COURTNEY
Middle Name:BROOKE
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:ALC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 2ND ST SW
Mailing Address - Street 2:
Mailing Address - City:GORDO
Mailing Address - State:AL
Mailing Address - Zip Code:35466-2221
Mailing Address - Country:US
Mailing Address - Phone:205-331-3836
Mailing Address - Fax:205-293-5516
Practice Address - Street 1:216 2ND ST SW
Practice Address - Street 2:
Practice Address - City:GORDO
Practice Address - State:AL
Practice Address - Zip Code:35466-2221
Practice Address - Country:US
Practice Address - Phone:205-331-3836
Practice Address - Fax:205-293-5516
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-27
Last Update Date:2021-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC3661A101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional