Individual
KIMBERLY LUNDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 TACOMA AVE S, TACOMA, WA 98402-5416
(253) 572-4750
Mailing address
510 TACOMA AVE S, TACOMA, WA 98402-5416
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61101663
WA
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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