Provider Demographics
NPI:1487934659
Name:DAY-GIERKE, COURTNEY ROSE (LPCC)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:ROSE
Last Name:DAY-GIERKE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:ROSE
Other - Last Name:DAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC
Mailing Address - Street 1:PO BOX 20831
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87154-0831
Mailing Address - Country:US
Mailing Address - Phone:505-259-5761
Mailing Address - Fax:
Practice Address - Street 1:4004 CARLISLE BLVD NE STE A2
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-4566
Practice Address - Country:US
Practice Address - Phone:505-259-5761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-19
Last Update Date:2019-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0141301101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health