Individual
NICKIE LUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
695 MISTLETOE RD STE H, ASHLAND, OR 97520-9552
(541) 482-8906
Mailing address
695 MISTLETOE RD. SUITE H, ASHLAND, OR 97520
(541) 482-8906
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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