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NPI Code Detail

MEDICARE: MS. KATIE B LUNDEN LMHC, MA

MEDICARE: MS. KATIE B LUNDEN LMHC, MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor60083805WA

General Provider Information

NPI Number : 1427207745
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATIE B LUNDEN LMHC, MA
Provider Business Mailing Address
First Line : 901 BOREN AVE STE 1300
Second Line :
City : SEATTLE
State : WA
Zip : 98104-3509
Country : US
Telephone Number : 206-207-4612
Fax Number :
Provider Business Practice Location Address
First Line : 901 BOREN AVE STE 1300
Second Line :
City : SEATTLE
State : WA
Zip : 98104-3509
Country : US
Telephone Number : 206-207-4612
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2008
Last Update Date : 11/02/2018

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