| Doctor Name: | KEVIN ROSS JUNTUNEN |
| NPI Number: | 1104058254 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LAC |
| License Number: | 1607 |
| Business Practice Address: | 200 Highway 2 W Devils Lake, ND - 583013532 |
| Business Phone Number: | 7016652200 |
| Business Fax Number: | 7016652300 |
| Mailing Address: | 200 Highway 2 W, Po Box 650 DEVILS LAKE |
| State: | ND |
| Postal Code: | 583013532 |
| Phone Number: | 7016652200 |
| Fax Number: | 7016652300 |
| NPI Enumeration Date: | 08/21/2009 |
| NPI Last Update Date: | 02/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1607 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |