MEDICARE: HANNAH LUNDE LPCC

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
1	101YP2500X	Professional Counselor	278264	KY

General Provider Information

NPI Number	:	1861198327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH LUNDE LPCC

Provider Business Mailing Address
First Line	:	905 MATINEE BLVD UNIT 1C
Second Line	:
City	:	COLD SPRING
State	:	KY
Zip	:	41076-7135
Country	:	US
Telephone Number	:	740-703-1098
Fax Number	:

Provider Business Practice Location Address
First Line	:	525 W 5TH ST STE 116
Second Line	:
City	:	COVINGTON
State	:	KY
Zip	:	41011-1260
Country	:	US
Telephone Number	:	859-261-0086
Fax Number	:	859-993-0073

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2023
Last Update Date	:	02/06/2023

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