Individual
MS. KIMBERLY ANN LUNDHOLM-EADES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LMFT
Contact information
Practice address
7039 20TH AVE, CENTERVILLE, MN 55038-9737
(651) 393-2830
(651) 393-2835
Mailing address
7039 20TH AVE, CENTERVILLE, MN 55038-9737
(651) 393-2830
(651) 393-2835
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
942
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011N6LU
BLUE CROSS BLUE SHIELD
MN
Enumeration date
10/03/2006
Last updated
08/15/2017
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