Provider Demographics
NPI:1770098444
Name:KOKENAKES, COURTNEY (MS, CGC)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:KOKENAKES
Suffix:
Gender:
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 JOHN R ST # HP03GC
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201-2013
Mailing Address - Country:US
Mailing Address - Phone:313-576-9087
Mailing Address - Fax:313-576-8699
Practice Address - Street 1:4100 JOHN R ST # HP03GC
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2013
Practice Address - Country:US
Practice Address - Phone:313-576-9087
Practice Address - Fax:313-576-8699
Is Sole Proprietor?:No
Enumeration Date:2017-12-04
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS