Grant Courtney, Licensed Clinical Social Worker, INC.
Social Worker, Clinical in Los Angeles, CA. Organization (NPI-2).
NPI number1497484455
StatusActive
Last updated in NPPESJun 6, 2022
Details
- NPI
- 1497484455
- Entity type
- Organization (NPI-2)
- Legal business name
- Grant Courtney, Licensed Clinical Social Worker, INC.
- Organization subpart
- No
- Enumeration date
- Jun 6, 2022
- Certification date
- Jun 6, 2022
- Last updated
- Jun 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Other names
- Grant Courtney Psychotherapy (Doing Business As)
Practice location
566 S San Vicente Blvd Ste 101Los Angeles, CA 90048-4650
Phone 310-571-5809
Mailing address
6230 Wilshire Blvd Ste 1180Los Angeles, CA 90048-5126
Phone 310-571-5809
Authorized official
Grant Courtney
President/Owner
3105715809
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