Individual provider · Type 1 NPI
Courtney Jean Gunderson, LICSW
Professional Counselor · Fridley, MN
NPI number
1235776543
Active
Practice location
5384 5th St NE
Fridley, MN 55421-1108
Fax (763) 537-7162
Mailing address
6120 Earle Brown Dr Ste 100
Brooklyn Center, MN 55430-4100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1235776543
Courtney Jean Gunderson, LICSW's National Provider Identifier is 1235776543, issued on Dec 5, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fridley, MN. The record was last updated on Apr 2, 2021.