Provider Demographics
NPI:1447790993
Name:LUNNY, JOIELLE K (LCPC-CONDITIONAL)
Entity Type:Individual
Prefix:MRS
First Name:JOIELLE
Middle Name:K
Last Name:LUNNY
Suffix:
Gender:F
Credentials:LCPC-CONDITIONAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 VERONA ST APT 1
Mailing Address - Street 2:
Mailing Address - City:SPRINGVALE
Mailing Address - State:ME
Mailing Address - Zip Code:04083-1642
Mailing Address - Country:US
Mailing Address - Phone:207-206-0425
Mailing Address - Fax:
Practice Address - Street 1:883 MAIN ST STE 1
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:ME
Practice Address - Zip Code:04073-3559
Practice Address - Country:US
Practice Address - Phone:207-206-0425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-02
Last Update Date:2018-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL4899101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty