Kevin Ross Juntunen, LAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Raleigh, ND
NPI 1104058254 · NPPES record last updated Apr 15, 2025
Key facts
- NPI
- 1104058254
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 1607 (ND)
- Practice address
- 7785 Saint Gertrude Ave
Raleigh, ND 58564-4103 - Phone
- (701) 597-3419
- NPI assigned
- Aug 21, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1607 | ND | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1607 | ND | Yes |
Addresses
Primary practice location
7785 Saint Gertrude Ave
Raleigh, ND 58564-4103
Mailing address
614 9TH Ave NE
Rolla, ND 58367-7303
Phone (701) 278-1192
Other providers in Raleigh, ND
- Liisa Clapp
- Christina Fink
- Darin Mark Hassel
- Jessica Hepker
- Holly Lo Ann Steckler
- Alyssa Kadrmas
- Marcie Ann Kahl
- Aimee Kemmet
- Amanda M McMahon
- Tara Jean Mindt
All providers in Raleigh, ND · Addiction (Substance Use Disorder) Counselor in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.