Organization
BONNIE LUNGREN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE LUNGREN (LCSW)
(434) 962-8447
Entity
Organization
Contact information
Practice address
315 WINDING RIVER LN STE 201, CHARLOTTESVILLE, VA 22911-3568
(434) 962-8447
Mailing address
315 WINDING RIVER LN STE 201, CHARLOTTESVILLE, VA 22911-3568
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0904007809
VA
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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