Individual provider · Type 1 NPI

Deette Lundberg, LAT

Addiction (Substance Use Disorder) Counselor · Casper, WY

NPI number 1124650486 Active

Practice location

231 S Wilson St
Casper, WY 82601-2941

Call (307) 265-3791 Map

Fax (307) 265-4480

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLAT-345 (WY)

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

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About NPI 1124650486

Deette Lundberg, LAT's National Provider Identifier is 1124650486, issued on Feb 5, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Casper, WY. The record was last updated on Feb 5, 2020.