Individual
ALEXANDRA LUNDSTEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMFT, CADC
Contact information
Practice address
1601 UNIVERSITY DR, ROCKFORD, IL 61107-5317
(815) 387-2533
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3874
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
33718
IL
106H00000X
Marriage & Family Therapist
Primary
166001397
IL
Other
Enumeration date
08/30/2020
Last updated
08/30/2020
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