Provider Demographics
NPI:1063990406
Name:LUNDE, ANNA CATHERINE (LPC)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:CATHERINE
Last Name:LUNDE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 N PLANCHARD CIR
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382-2331
Mailing Address - Country:US
Mailing Address - Phone:936-494-9993
Mailing Address - Fax:
Practice Address - Street 1:33300 EGYPT LN STE I200
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-2741
Practice Address - Country:US
Practice Address - Phone:936-494-9993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-28
Last Update Date:2018-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75316101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX75316OtherLPC