Provider Demographics
NPI:1366161697
Name:PADJEN, COURTNEY (PHD, LAMFT)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:
Last Name:PADJEN
Suffix:
Gender:F
Credentials:PHD, LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 BRYANT AVE S APT 306
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-2126
Mailing Address - Country:US
Mailing Address - Phone:715-864-2863
Mailing Address - Fax:
Practice Address - Street 1:2900 BRYANT AVE S APT 306
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-2126
Practice Address - Country:US
Practice Address - Phone:715-864-2863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist