Provider Demographics
NPI:1215239447
Name:MONFORE, COURTENAY CLAIRE (LPC)
Entity type:Individual
Prefix:MRS
First Name:COURTENAY
Middle Name:CLAIRE
Last Name:MONFORE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2813 COLTSGATE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-3585
Mailing Address - Country:US
Mailing Address - Phone:541-331-7777
Mailing Address - Fax:
Practice Address - Street 1:2813 COLTSGATE ROAD, SUITE 201
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211
Practice Address - Country:US
Practice Address - Phone:704-741-2082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-19
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCCOURTENAY01OtherBCBS