Provider Demographics
NPI:1750854949
Name:BARGOLA, COURTNEY C (MED, LPCC-S)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:C
Last Name:BARGOLA
Suffix:
Gender:F
Credentials:MED, LPCC-S
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:C
Other - Last Name:WOLFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, LPCC-S
Mailing Address - Street 1:5701 N HIGH ST STE 308
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-3960
Mailing Address - Country:US
Mailing Address - Phone:614-406-0299
Mailing Address - Fax:
Practice Address - Street 1:5701 N HIGH ST STE 308
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-3960
Practice Address - Country:US
Practice Address - Phone:614-406-0299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-10
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2203000101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health