JEREMY ANDREW COURTNEY M.S.
NPI 1629311915
Counselor - Addiction (Substance Use Disorder) in Ash Fork, AZ
Active since April 04, 2013
About Jeremy Andrew Courtney M.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMY ANDREW COURTNEY M.S. (NPI 1629311915) is an individual addiction (substance use disorder) provider in Ash Fork, Arizona, licensed in Arizona (LISAC-11472) and active in the NPI registry since April 2013.
NPPES Registry Identity
NPI1629311915
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJEREMY ANDREW COURTNEYCredential: M.S.
Location Address4712 DOUBLE A RANCH RD.Ash Fork, AZ 86320
Mailing AddressPo Box 806Ash Fork, AZ 86320-0806 · (928) 707-2393
Phone(928) 707-2393
Sole ProprietorYes
Enumeration DateApril 4, 2013
Last NPPES UpdateAugust 16, 2013
✔ NPI 1629311915 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in AZ · LISAC-11472
4712 DOUBLE A RANCH RD., Ash Fork, AZ 86320
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629311915, enumerated as an "individual" on April 04, 2013.
The provider is located at 4712 DOUBLE A RANCH RD. ASH FORK, AZ 86320 and the phone number is (928) 707-2393.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
