Individual
DR. DEBORAH S LUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4701 PARK RD, CHARLOTTE, NC 28209-3217
(803) 431-0037
Mailing address
770 PETERSBURG DR, FORT MILL, SC 29708-5708
(803) 431-0037
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0701002600
VA
101YM0800X
Mental Health Counselor
Primary
0701002600
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945166
—
VA
01
—
400231
ANTHEM BLUE CROSS BLUE SH
VA
Enumeration date
02/21/2007
Last updated
07/03/2013
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