Provider Demographics
NPI:1497425920
Name:TURCOTT-GUTT, LISA CONSTANCE (LPC)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:CONSTANCE
Last Name:TURCOTT-GUTT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 RAINBOW RD
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81303-6617
Mailing Address - Country:US
Mailing Address - Phone:970-426-8300
Mailing Address - Fax:
Practice Address - Street 1:48 COUNTY ROAD 250 UNIT 8
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-8505
Practice Address - Country:US
Practice Address - Phone:970-426-8300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-16
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0019494101YM0800X, 101YP2500X
COLPCC.0018610101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health