Individual
MS. BONNIE L LUNGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CADC, CCDP
Contact information
Practice address
315 WINDING RIVER LN, SUITE 201, CHARLOTTESVILLE, VA 22911-3568
(434) 962-8447
(434) 961-2556
Mailing address
315 WINDING RIVER LN, SUITE 201, CHARLOTTESVILLE, VA 22911-3568
(434) 962-8447
(434) 961-2556
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007809
VA
Other
Enumeration date
12/22/2011
Last updated
09/30/2015
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