Individual
MR. NATHAN ERIC LUNDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5551 WINGHAVEN BLVD, SUITE 250, O FALLON, MO 63368-3617
(636) 561-2979
(636) 561-2979
Mailing address
1031A PERUQUE CROSSING CT, O FALLON, MO 63366-2384
(636) 887-3655
(636) 887-3655
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002492
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
499742906
—
MO
Enumeration date
05/24/2006
Last updated
01/20/2024
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