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Organization
TRISTATE PROVIDER ADVOCATE & CONSULTING
Active
Organization
TRISTATE PROVIDER ADVOCATE & CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUNDA J THOMAS DIRECTOR (CREDENTIALING/CONTRACTING)
(763) 807-5254
Entity
Organization
Contact information
Practice address
1710 DOUGLAS DR N STE 120, GOLDEN VALLEY, MN 55422-4352
(763) 807-5254
(612) 465-3032
Mailing address
910 SHERIDAN AVE N, MINNEAPOLIS, MN 55411-3615
(763) 807-5254
(612) 465-3032
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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