DR. COURTNEY GUNDRUM PSYD LPCC NPI 1508411711

NPI Information

NPI: 1508411711
Provider Name: DR. COURTNEY GUNDRUM, PSYD, LPCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
8617 W POINT DOUGLAS RD S STE 150
COTTAGE GROVE, MN
ZIP 55016
Phone: (612) 293-5037
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DR. Courtney Gundrum, PSYD, LPCC is a mental health counselor in Cottage Grove, MN. DR. Courtney Gundrum, PSYD, LPCC NPI is 1508411711. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8617 W POINT DOUGLAS RD S STE 150
COTTAGE GROVE, MN
ZIP 55016-161
Phone: (612) 293-5037

The enumeration date for this NPI number is 8/5/2019 and was last updated on 3/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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