Individual
CARLA LUNDBLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LPC NCC
Contact information
Practice address
14 COTTAGE ST, MEDFORD, OR 97504-7332
(541) 951-9517
(541) 423-5470
Mailing address
14 COTTAGE ST, MEDFORD, OR 97504-7332
(541) 951-9517
(541) 423-5470
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2874
OR
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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