Provider Demographics
NPI:1912240789
Name:MARCH, COURTNEY (LMHC)
Entity Type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:
Last Name:MARCH
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 SCOTCH PINE DR
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11763-4211
Mailing Address - Country:US
Mailing Address - Phone:631-255-5249
Mailing Address - Fax:
Practice Address - Street 1:26 SCOTCH PINE DR
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NY
Practice Address - Zip Code:11763-4211
Practice Address - Country:US
Practice Address - Phone:631-255-5249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-31
Last Update Date:2013-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005354101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health