Individual provider · Type 1 NPI

Kevin Ross Juntunen, LAC

Addiction (Substance Use Disorder) Counselor · Raleigh, ND

NPI number 1104058254 Active

Practice location

7785 Saint Gertrude Ave
Raleigh, ND 58564-4103

Mailing address

614 9th Ave NE
Rolla, ND 58367-7303

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1607 (ND)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104058254

Kevin Ross Juntunen, LAC's National Provider Identifier is 1104058254, issued on Aug 21, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Raleigh, ND. The record was last updated on Apr 15, 2025.