| Doctor Name: | LAURA L MCGOURTY |
| NPI Number: | 1003014721 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 4467 |
| Business Practice Address: | 281 Sawyer Dr Suite 100 Durango, CO - 813033409 |
| Business Phone Number: | 9703853491 |
| Business Fax Number: | |
| Mailing Address: | 281 Sawyer Dr, Suite 100 DURANGO |
| State: | CO |
| Postal Code: | 813033409 |
| Phone Number: | 9703853491 |
| Fax Number: | |
| NPI Enumeration Date: | 07/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 4467 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |