Individual
COURTNEY GHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 E MCDOWELL RD APT 2117, PHOENIX, AZ 85008-4390
(614) 800-1081
Mailing address
3601 E MCDOWELL RD APT 2117, PHOENIX, AZ 85008-4390
(614) 800-1081
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/24/2020
Last updated
05/24/2020
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