Provider Demographics
NPI:1861198327
Name:LUNDE, HANNAH (LPCC)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:LUNDE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 MATINEE BLVD UNIT 1C
Mailing Address - Street 2:
Mailing Address - City:COLD SPRING
Mailing Address - State:KY
Mailing Address - Zip Code:41076-7135
Mailing Address - Country:US
Mailing Address - Phone:740-703-1098
Mailing Address - Fax:
Practice Address - Street 1:525 W 5TH ST STE 116
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:KY
Practice Address - Zip Code:41011-1260
Practice Address - Country:US
Practice Address - Phone:859-261-0086
Practice Address - Fax:859-993-0073
Is Sole Proprietor?:No
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY278264101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional