Individual
ANNA LUNDGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
165 E MAIN ST, HUNTINGTON, NY 11743-2919
(631) 572-8912
Mailing address
4 PROVENCE LN, GLEN HEAD, NY 11545-1135
(516) 578-3959
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P133522
NY
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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