Provider Demographics
NPI:1891414868
Name:COURTRIGHT, SANTANA (QMHP, CSWA)
Entity type:Individual
Prefix:
First Name:SANTANA
Middle Name:
Last Name:COURTRIGHT
Suffix:
Gender:F
Credentials:QMHP, CSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1314 FIRE THORN LN
Mailing Address - Street 2:
Mailing Address - City:PASO ROBLES
Mailing Address - State:CA
Mailing Address - Zip Code:93446-4058
Mailing Address - Country:US
Mailing Address - Phone:805-602-1304
Mailing Address - Fax:
Practice Address - Street 1:348 W ADAMS ST
Practice Address - Street 2:
Practice Address - City:BURNS
Practice Address - State:OR
Practice Address - Zip Code:97720-1710
Practice Address - Country:US
Practice Address - Phone:805-674-6131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-24
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health