Individual
KIMBERLY LUNDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
193 WATERMAN ST, PROVIDENCE, RI 02906-4064
(774) 259-6764
Mailing address
65 GINGER TRL, COVENTRY, RI 02816-8265
(774) 259-6764
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
000009448
MA
101YM0800X
Mental Health Counselor
Primary
MHC00725
RI
Other
Enumeration date
04/25/2016
Last updated
10/23/2020
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