Individual provider · Type 1 NPI
Kaitlin Lundberg-Lusk
Mental Health Counselor · Long Beach, CA
NPI number
1043776313
Active
Practice location
1515 Hughes Way
Long Beach, CA 90810-1865
Mailing address
5150 E Pacific Coast Hwy
Long Beach, CA 90804-3312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 102392 (CA) |
| Mental Health Counselor Primary | 101YM0800X | 84273 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1043776313
Kaitlin Lundberg-Lusk's National Provider Identifier is 1043776313, issued on Feb 12, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Long Beach, CA. The record was last updated on Oct 1, 2025.