Provider Demographics
NPI:1992373872
Name:PERRI, COURTNIE PAIGE (MS, NCC)
Entity Type:Individual
Prefix:
First Name:COURTNIE
Middle Name:PAIGE
Last Name:PERRI
Suffix:
Gender:F
Credentials:MS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1322 MARION ST
Mailing Address - Street 2:
Mailing Address - City:DUNMORE
Mailing Address - State:PA
Mailing Address - Zip Code:18509-2464
Mailing Address - Country:US
Mailing Address - Phone:570-903-8453
Mailing Address - Fax:
Practice Address - Street 1:2324 BOULEVARD AVE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18509-1237
Practice Address - Country:US
Practice Address - Phone:570-903-8453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor