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Mikenley Lundy
Professional Counselor in Roanoke, Virginia
NPI 1528772084

Mikenley Lundy is a Professional Counselor based in Roanoke, VA and is specialized in Professional. Mikenley Lundy practices in Roanoke, VA. The NPI Number for Mikenley Lundy is 1528772084 and holds a License No. 0701012115 (Virginia).

The current practice location address for Mikenley Lundy is 611 Mcdowell Ave Nw, Roanoke, VA and can be reached out via phone at 540-266-9200.

Location: 611 Mcdowell Ave Nw, Roanoke, VA, 24016-4001
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Provider Profile Details
NPI Number
1528772084
Provider Name
Mikenley Lundy
Credential
Provider Entity Type
Individual
Gender
Male
Address
611 Mcdowell Ave Nw, Roanoke, VA, 24016-4001
Phone Number
540-266-9200
Fax Number
Provider Enumeration Date
01/10/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1437137734 05 VA
institution
Provider Business Practice Location Address Details
Address
611 Mcdowell Ave Nw
City
State
Zip
24016-1225
Phone Number
540-266-9200
Fax Number
person
Provider Business Mailing Address Details
Address
611 Mcdowell Ave Nw
City
State
Zip
24016-1225
Phone Number
540-266-9200
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701012115 (Virginia)
Definition
Definition to come...
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