Individual
CHRISTOPHER JOHN GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1351 NEWTOWN PIKE, ATTENTION BILLING, LEXINGTON, KY 40511-1275
(859) 233-0444
Mailing address
1351 NEWTOWN PIKE, ATTENTION BILLING, LEXINGTON, KY 40511-1275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
12/14/2016
Last updated
12/22/2016
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