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Mr. Blake Lundry
Mental Health Counselor in Tahlequah, Oklahoma
NPI 1295157774

Blake Lundry is a Mental Health Counselor based in Tahlequah, OK and is specialized in Mental Health. Blake Lundry practices in Tahlequah, OK. The NPI Number for Blake Lundry is 1295157774 and holds a License No. (Oklahoma).

The current practice location address for Blake Lundry is 3475 Southridge Pl, Tahlequah, OK and can be reached out via phone at 918-931-1041.

Location: 3475 Southridge Pl, Tahlequah, OK, 74464
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295157774
Provider Name
Blake Lundry
Credential
Provider Entity Type
Individual
Gender
Male
Address
3475 Southridge Pl, Tahlequah, OK, 74464
Phone Number
918-931-1041
Fax Number
Provider Enumeration Date
01/17/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3475 Southridge Pl
City
Tahlequah
State
Oklahoma
Zip
74464-7912
Phone Number
918-931-1041
Fax Number
person
Provider Business Mailing Address Details
Address
3475 Southridge Pl
City
Tahlequah
State
Oklahoma
Zip
74464-7912
Phone Number
918-931-1041
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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