Provider Demographics
NPI:1780129049
Name:DOLAN, COURTNEY ANN (LPC-C)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:ANN
Last Name:DOLAN
Suffix:
Gender:F
Credentials:LPC-C
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:
Other - Last Name:VICKROY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5332 S MEMORIAL DR STE 300
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74145-9000
Mailing Address - Country:US
Mailing Address - Phone:918-895-8044
Mailing Address - Fax:918-895-8056
Practice Address - Street 1:5332 S MEMORIAL DR STE 300
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74145-9000
Practice Address - Country:US
Practice Address - Phone:918-895-8044
Practice Address - Fax:918-895-8056
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-22
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor