Provider Demographics
NPI:1992928485
Name:GURNEY, GARY F (LPC)
Entity type:Individual
Prefix:
First Name:GARY
Middle Name:F
Last Name:GURNEY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2045 W VICTORY WAY
Mailing Address - Street 2:
Mailing Address - City:CRAIG
Mailing Address - State:CO
Mailing Address - Zip Code:81625-3439
Mailing Address - Country:US
Mailing Address - Phone:970-824-2557
Mailing Address - Fax:970-824-2412
Practice Address - Street 1:2045 W VICTORY WAY
Practice Address - Street 2:
Practice Address - City:CRAIG
Practice Address - State:CO
Practice Address - Zip Code:81625-3439
Practice Address - Country:US
Practice Address - Phone:970-824-2557
Practice Address - Fax:970-824-2412
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO068400Medicaid