Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Courtney Jean Gunderson, LICSW

Individual provider Professional Counselor · NPI 1235776543

Courtney Jean Gunderson, LICSW is a Professional Counselor in Fridley, Minnesota. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

5384 5th St NE
Fridley, MN 55421-1108
Phone: (763) 572-0009
Fax: (763) 537-7162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1235776543
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedDecember 5, 2019
Last updated in NPPESApril 2, 2021
Certification dateApril 2, 2021

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