Provider Demographics
NPI:1558241356
Name:FLANK, COURTNEY WARREN (MS, LPC, NCC)
Entity type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:WARREN
Last Name:FLANK
Suffix:
Gender:F
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 CHAIRVILLE RD
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-9619
Mailing Address - Country:US
Mailing Address - Phone:609-975-9769
Mailing Address - Fax:
Practice Address - Street 1:11 CHAIRVILLE RD
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-9619
Practice Address - Country:US
Practice Address - Phone:609-975-9769
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-03
Last Update Date:2025-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC01159600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health