Provider Demographics
NPI:1962256230
Name:KARIN R. GERTNER LPC LLC
Entity type:Organization
Organization Name:KARIN R. GERTNER LPC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:KARIN
Authorized Official - Middle Name:ROSWITHA
Authorized Official - Last Name:GERTNER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:970-867-8986
Mailing Address - Street 1:18 SADDLE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:FORT MORGAN
Mailing Address - State:CO
Mailing Address - Zip Code:80701-4202
Mailing Address - Country:US
Mailing Address - Phone:970-867-8986
Mailing Address - Fax:
Practice Address - Street 1:324 E RAILROAD AVE STE 500
Practice Address - Street 2:
Practice Address - City:FORT MORGAN
Practice Address - State:CO
Practice Address - Zip Code:80701-3144
Practice Address - Country:US
Practice Address - Phone:970-867-8986
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)