Provider Demographics
NPI:1710612460
Name:LUNIN, JOANNA (RN, LMHC-LP)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:LUNIN
Suffix:
Gender:F
Credentials:RN, LMHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 OLD ROUTE 17K
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:NY
Mailing Address - Zip Code:12549-1931
Mailing Address - Country:US
Mailing Address - Phone:315-807-9118
Mailing Address - Fax:
Practice Address - Street 1:10 ELM ST
Practice Address - Street 2:
Practice Address - City:CORNWALL
Practice Address - State:NY
Practice Address - Zip Code:12518-1485
Practice Address - Country:US
Practice Address - Phone:845-535-9481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-18
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health