Organization
LAKESIDE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN LUNDIN LPC (OWNER)
(636) 887-3655
Entity
Organization
Contact information
Practice address
1031A PERUQUE CROSSING CT, O FALLON, MO 63366-2384
(636) 887-3655
(636) 887-3655
Mailing address
1031A PERUQUE CROSSING CT, O FALLON, MO 63366-2384
(636) 887-3655
(636) 887-3655
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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