Iverson, Kourtnie J. Michelle

Iverson, Kourtnie J. Michelle is an individual health care provider with primary practice located at 60 N Stygler Rd , Gahanna OH 43230-2435. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Iverson, Kourtnie J. Michelle can be contacted via phone (614) 475-2014.

Contact Information

Primary practice address
60 N Stygler Rd Gahanna OH 43230-2435
Phone: (614) 475-2014
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X S1500695 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.2102873 Ohio

Profile Details

NPI number 1982152146
LBN Legal business name Iverson, Kourtnie J. Michelle
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2016
Last updated Apr 11th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982152146 NPPES
Ohio MEDICAID 0283825

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