National Provider Identifier

Courtney Renee Moran, MSED., LMHC

Courtney Renee Moran, MSED., LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Lackawanna, NY and a listed phone number of (716) 828-9743.

NPI 1316268451Lackawanna, NYMental Health Counselor

Profile Overview

NPI
1316268451
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
June 11, 2010
Last Updated
June 11, 2010

Practice Location

  • 650 Ridge RD
  • Lackawanna, NY 14218-1435

Phone: (716) 828-9743

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1316268451
Entity Type
Individual
Last Name
Moran
First Name
Courtney
Middle Name
Renee
Name Prefix
MS.
Credential
MSED., LMHC
Mailing Street Address
650 Ridge RD
Mailing City
Lackawanna
Mailing State
NY
Mailing ZIP Code
14218-1435
Mailing Country
US
Mailing Phone
(716) 828-9743
Mailing Fax
(716) 828-9747
Practice Street Address
650 Ridge RD
Practice City
Lackawanna
Practice State
NY
Practice ZIP Code
14218-1435
Practice Country
US
Practice Phone
(716) 828-9743
Practice Fax
(716) 828-9747
Enumeration Date
June 11, 2010
Last Updated
June 11, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)