Individual
MICHELE LYNN LUNDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC, NCC
Contact information
Practice address
8435 UNIVERSITY BLVD STE 9, CLIVE, IA 50325-1035
(515) 203-1512
Mailing address
8435 UNIVERSITY BLVD STE 9, CLIVE, IA 50325-1035
(515) 203-1512
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001237
IA
Other
Enumeration date
10/16/2008
Last updated
11/30/2016
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