Individual provider · Type 1 NPI

Blake Lundry

Mental Health Counselor · Tahlequah, OK

NPI number 1295157774 Active

Practice location

3475 Southridge Pl, Unit 7
Tahlequah, OK 74464-7912

Call (918) 931-1041 Map

Mailing address

3475 Southridge Place, #7
Tahlequah, OK 74464

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1295157774

Blake Lundry's National Provider Identifier is 1295157774, issued on Jan 17, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tahlequah, OK. The record was last updated on Jan 17, 2014.