Individual
JENNIFER MICHELLE LUNDEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1035 EL RANCHO RD, EVERGREEN, CO 80439-8238
(720) 295-3790
(877) 400-4480
Mailing address
1825 W 120TH AVE # 237, WESTMINSTER, CO 80234-2879
(303) 887-2807
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
251S00000X
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251S00000X
—
CO
Enumeration date
09/11/2024
Last updated
09/11/2024
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