Provider Demographics
NPI:1801670195
Name:SUNDEEN3 COUNSELING
Entity type:Organization
Organization Name:SUNDEEN3 COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SUNDEEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:907-531-5820
Mailing Address - Street 1:3734 HILLSIDE RD
Mailing Address - Street 2:
Mailing Address - City:KETCHIKAN
Mailing Address - State:AK
Mailing Address - Zip Code:99901-5517
Mailing Address - Country:US
Mailing Address - Phone:907-531-5820
Mailing Address - Fax:
Practice Address - Street 1:3734 HILLSIDE RD
Practice Address - Street 2:
Practice Address - City:KETCHIKAN
Practice Address - State:AK
Practice Address - Zip Code:99901-5517
Practice Address - Country:US
Practice Address - Phone:907-531-5820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty