Individual provider · Type 1 NPI

Lisa Christine Lundgren, LADC/MH #956

Addiction (Substance Use Disorder) Counselor · Ada, OK

NPI number 1801013651 Active

Practice location

3115 E. Arlington Blvd., Healthy Lifestyles
Ada, OK 74820

Fax (580) 421-7724

Mailing address

Resource Management, 1300 Hoppe Blvd., Suite 1
Ada, OK 74820

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800X956 (OK)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X956 (OK)

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

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About NPI 1801013651

Lisa Christine Lundgren, LADC/MH #956's National Provider Identifier is 1801013651, issued on Apr 20, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ada, OK. The record was last updated on Sep 19, 2018.