Provider Demographics
NPI:1962495523
Name:GERTNER, KARIN ROSWITHA (MA LPC)
Entity Type:Individual
Prefix:MS
First Name:KARIN
Middle Name:ROSWITHA
Last Name:GERTNER
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:729 DELORES AVE
Mailing Address - Street 2:
Mailing Address - City:FORT MORGAN
Mailing Address - State:CO
Mailing Address - Zip Code:80701-4054
Mailing Address - Country:US
Mailing Address - Phone:970-867-8986
Mailing Address - Fax:970-867-8986
Practice Address - Street 1:324 E RAILROAD AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:FORT MORGAN
Practice Address - State:CO
Practice Address - Zip Code:80701-3145
Practice Address - Country:US
Practice Address - Phone:970-867-8986
Practice Address - Fax:970-867-8986
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO#566101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health