Provider Demographics
NPI:1215090071
Name:TORGERSON, COURTNEY (LCPC)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:
Last Name:TORGERSON
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 2ND ST E STE 10
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-4587
Mailing Address - Country:US
Mailing Address - Phone:406-270-6988
Mailing Address - Fax:406-863-9857
Practice Address - Street 1:33 2ND ST E STE 10
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-4587
Practice Address - Country:US
Practice Address - Phone:406-270-6988
Practice Address - Fax:406-863-9857
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID3313101YM0800X
MT1171101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID806064200Medicaid
ID806106400Medicaid