Provider Demographics
NPI:1053088716
Name:MILLS, COURTNEY ERIN (CGC)
Entity type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:ERIN
Last Name:MILLS
Suffix:
Gender:F
Credentials:CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 HIGHLAND AVE # CSCJ3246
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53792-0001
Mailing Address - Country:US
Mailing Address - Phone:608-265-7861
Mailing Address - Fax:
Practice Address - Street 1:600 HIGHLAND AVE # CSCJ3246
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53792-3066
Practice Address - Country:US
Practice Address - Phone:608-265-7861
Practice Address - Fax:608-662-4448
Is Sole Proprietor?:No
Enumeration Date:2021-08-30
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS