Individual
LISA CHRISTINE LUNDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC/MH #956
Contact information
Practice address
3115 E. ARLINGTON BLVD., HEALTHY LIFESTYLES, ADA, OK 74820
(580) 332-6345
(580) 421-7724
Mailing address
RESOURCE MANAGEMENT, 1300 HOPPE BLVD., SUITE 1, ADA, OK 74820
(580) 436-7211
(580) 272-5757
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
956
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
956
OK
Other
Enumeration date
04/20/2007
Last updated
09/19/2018
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