Individual
MR. BENJAMIN LUNDQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 SUNSET ST, ELK CITY, OK 73644-1629
(801) 860-7774
Mailing address
115 SUNSET ST, ELK CITY, OK 73644-1629
(801) 860-7774
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
21997
OK
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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