Individual
MRS. CHARMAGNE CELESTE LUNDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
17940 FARMINGTON RD STE 302, LIVONIA, MI 48152-3159
(800) 693-1916
Mailing address
15570 INGRAM ST, LIVONIA, MI 48154-3166
(734) 652-0987
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401014301
MI
101YP2500X
Professional Counselor
6401014301
MI
Other
Enumeration date
12/06/2015
Last updated
09/03/2020
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