Individual
JEFFREY ALVIN LUNDGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMHC
Contact information
Practice address
4055 S 700 E STE 103, MILLCREEK, UT 84107-2508
(801) 874-2679
Mailing address
511 E 300 N, 248, LEVAN, UT 84639
(303) 810-2222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11805165-6004
UT
Other
Enumeration date
07/08/2019
Last updated
04/21/2026
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