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NPI Code Detail

MEDICARE: JULIE LUNDY ED.S., NBCC, LPC

MEDICARE: JULIE LUNDY ED.S., NBCC, LPC
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
1101Y00000XCounselor6093SC

General Provider Information

NPI Number : 1467994921
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE LUNDY ED.S., NBCC, LPC
Provider Business Mailing Address
First Line : PO BOX 6442
Second Line :
City : COLUMBIA
State : SC
Zip : 29260-6442
Country : US
Telephone Number : 803-931-0878
Fax Number :
Provider Business Practice Location Address
First Line : 4500 FORT JACKSON BLVD STE 110
Second Line :
City : COLUMBIA
State : SC
Zip : 29209-1134
Country : US
Telephone Number : 803-931-4249
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2016
Last Update Date : 04/11/2022

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