Individual
MS. CAROL L. LUNDWALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPCI
Contact information
Practice address
3809 S WEST TEMPLE STE 1B, SALT LAKE CITY, UT 84115-4479
(801) 268-4454
(801) 268-2176
Mailing address
4150 S 300 E APT 524, SALT LAKE CITY, UT 84107-2416
(801) 949-2591
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4925810-6009
UT
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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