Gunderson, Courtney Jean
Gunderson, Courtney Jean is an individual health care provider with primary practice located at 5384 5Th St Ne , Fridley MN 55421-1108. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gunderson, Courtney Jean can be contacted via phone (763) 572-0009.Contact Information
Primary practice address
5384 5Th St Ne
Fridley MN 55421-1108
Phone: (763) 572-0009
Fax: (763) 537-7162
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1235776543 |
|---|---|
| LBN Legal business name | Gunderson, Courtney Jean |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2019 |
| Last updated | Apr 2nd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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