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Harold James Lundgren
Peer Specialist in Spokane, Washington
NPI 1427526276

Harold James Lundgren is a Peer Specialist based in Spokane, WA. Harold James Lundgren practices in Spokane, WA. The NPI Number for Harold James Lundgren is 1427526276 and holds a License No. CG60531421 (Washington).

The current practice location address for Harold James Lundgren is 5901 N Lidgerwood St Ste 115, Spokane, WA and can be reached out via phone at 509-838-4651.

Location: 5901 N Lidgerwood St Ste 115, Spokane, WA, 99202-1510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427526276
Provider Name
Harold James Lundgren
Credential
Provider Entity Type
Individual
Gender
Male
Address
5901 N Lidgerwood St Ste 115, Spokane, WA, 99202-1510
Phone Number
509-838-4651
Fax Number
Provider Enumeration Date
11/09/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2114445 05 WA
institution
Provider Business Practice Location Address Details
Address
5901 N Lidgerwood St Ste 115
City
Spokane
State
Washington
Zip
99208-1122
Phone Number
509-838-4651
Fax Number
person
Provider Business Mailing Address Details
Address
5901 N Lidgerwood St Ste 115
City
Spokane
State
Washington
Zip
99208-1122
Phone Number
509-838-4651
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CG60531421 (Washington)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
CG60531421 (Washington)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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