Healthcare Provider Details

I. General information

NPI: 1295860104
Provider Name (Legal Business Name): DEBRA LYNN LUND MA,CAGS ,LMHC, LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. DEBRA LYNN SATTER

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 10/13/2022
Certification Date: 10/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

683 OLD CASTLE DR
RANDLEMAN NC
27317-8312
US

IV. Provider business mailing address

683 OLD CASTLE DR
RANDLEMAN NC
27317-8312
US

V. Phone/Fax

Practice location:
  • Phone: 603-562-8516
  • Fax:
Mailing address:
  • Phone: 603-562-8516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number17573
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number5845
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: