Provider Demographics
NPI:1205316023
Name:FITZGERALD, COURTNEY KRISTINE (LMHC)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:KRISTINE
Last Name:FITZGERALD
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:KRISTINE
Other - Last Name:JORUD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:270 BENTON DR STE 3
Mailing Address - Street 2:
Mailing Address - City:EAST LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01028-3233
Mailing Address - Country:US
Mailing Address - Phone:413-567-9993
Mailing Address - Fax:
Practice Address - Street 1:270 BENTON DR STE 3
Practice Address - Street 2:
Practice Address - City:EAST LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01028-3233
Practice Address - Country:US
Practice Address - Phone:413-567-9993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-21
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health