Healthcare Provider Details

I. General information

NPI: 1801146915
Provider Name (Legal Business Name): SUSAN LUNT MA, LCMHC, MLADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2012
Last Update Date: 06/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 KENDALL ST
FRANKLIN NH
03235
US

IV. Provider business mailing address

PO BOX 2032
CONCORD NH
03302-2032
US

V. Phone/Fax

Practice location:
  • Phone: 603-934-3400
  • Fax:
Mailing address:
  • Phone: 603-226-7505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0971
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1137
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: