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NPI Code Detail

MEDICARE: CINDY LEE JUNTUNEN LP

MEDICARE:   CINDY LEE JUNTUNEN  LP
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
1101Y00000XCounselor
2103T00000XPsychologist276ND

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
213688OTHERNDBCBSND
361-77037OTHERNDMEDICA UBH
48H898JUOTHERMNBCBSMN
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
658203-A002OTHERNDTRIWEST

General Provider Information

NPI Number : 1215000617
Entity Type Code : Individual
Provider Name (Legal Business Name) : CINDY LEE JUNTUNEN LP
Provider Business Mailing Address
First Line : 2718 BELMONT RD
Second Line :
City : GRAND FORKS
State : ND
Zip : 58201-7538
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 501 N COLUMBIA RD STOP 7132
Second Line :
City : GRAND FORKS
State : ND
Zip : 58203-2817
Country : US
Telephone Number : 701-777-3745
Fax Number : 701-777-3845
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2006
Last Update Date : 05/17/2023

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Directions to “ CINDY LEE JUNTUNEN LP” Practice Location

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