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GLORIA LUNDHOLM LMFT

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1770686073

Individual Registrant:
 GLORIA  LUNDHOLM LMFT
Gender: F
Sole Proprietor

Location and contact information for practice:
7836 PINEDROP LANE  TAHOE VISTA, CA 96148 US
Tel: 530-546-4985  Fax: 530-546-0815

Contact information for business:
PO BOX 1859  KINGS BEACH, CA 96143-1859 US
Tel: 530-546-4985  Fax: 530-546-0815

Registration Information:
NPI: 1770686073
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CA15968

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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