Individual
ALEXANDRA LUNDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
650 HIGHLAND AVE STE 100, WINSTON SALEM, NC 27101-4304
(336) 607-8523
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A12807
NC
101YP2500X
Professional Counselor
Primary
A12807
NC
Other
Enumeration date
06/12/2018
Last updated
01/28/2020
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