Mr. Blake Lundry
Mr. Blake Lundry is a Mental Health Counselor in Tahlequah, Oklahoma. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
3475 Southridge Pl Unit 7Tahlequah, OK 74464-7912
Phone: (918) 931-1041
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1295157774 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 17, 2014 |
| Last updated in NPPES | January 17, 2014 |
| Mailing address | 3475 Southridge Place, 7, Tahlequah, OK 74464 |
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