Individual
JONATHAN F LUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
7010 E BOGARD RD, WASILLA, AK 99654-4711
(907) 746-4748
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(866) 907-1068
(425) 917-9141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
103TC1900X
Counseling Psychologist
121067
AK
Other
Enumeration date
11/19/2009
Last updated
04/08/2022
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