Individual
CAROL RENEE LUNDGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9342 CHESTNUT GROVE RD, ESMONT, VA 22937-2316
(434) 960-4029
Mailing address
9342 CHESTNUT GROVE RD, ESMONT, VA 22937-2316
(434) 960-4029
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704013310
VA
Other
Enumeration date
01/25/2025
Last updated
01/25/2025
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