Jeremy Andrew Courtney, MS is a
Counselor - Addiction (substance Use Disorder) based in Ash Fork, Arizona. Jeremy Andrew Courtney is licensed to practice in Arizona (license number LISAC-11472) and his current practice location is
4712 Double A Ranch Rd., Ash Fork, Arizona. He can be reached at his office (for appointments etc.) via phone at
(928) 707-2393.
NPI number for Jeremy Andrew Courtney is 1629311915 and his current mailing address is Po Box 806, Ash Fork, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629311915.
Healthcare Provider's Profile
Full Name | Jeremy Andrew Courtney |
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Gender | Male |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 4712 Double A Ranch Rd., Ash Fork, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629311915
- Provider Enumeration Date: 04/04/2013
- Last Update Date: 08/16/2013
Medical Identifiers
Medical identifiers for Jeremy Andrew Courtney such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629311915 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC-11472 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeremy Andrew Courtney is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jeremy Andrew Courtney, MS Po Box 806, Ash Fork, AZ 86320-0806 Ph: (928) 707-2393 | Jeremy Andrew Courtney, MS 4712 Double A Ranch Rd., Ash Fork, AZ 86320 Ph: (928) 707-2393 |
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