Lund Therapy And Coaching LLC
Community/Behavioral Health in Wilmington, IL. Organization (NPI-2).
NPI number1942930516
StatusActive
Last updated in NPPESJun 15, 2022
Details
- NPI
- 1942930516
- Entity type
- Organization (NPI-2)
- Legal business name
- Lund Therapy And Coaching LLC
- Organization subpart
- No
- Enumeration date
- Jun 15, 2022
- Certification date
- Jun 15, 2022
- Last updated
- Jun 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
509 S Main StWilmington, IL 60481-1432
Phone 815-954-9512
Mailing address
509 S Main StWilmington, IL 60481-1432
Phone 815-954-9512
Authorized official
Joshua Lund
Therapist
8159549512
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