Individual
MS. STEPHANIE L LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.F.T
Contact information
Practice address
445 ETNA ST STE 55, SAINT PAUL, MN 55106-5848
(651) 254-4804
(651) 254-9238
Mailing address
3632 PASCAL AVE, ARDEN HILLS, MN 55112-6905
(612) 558-0717
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1472
MN
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
652987000
MEDICAL ASSISTANCE
MN
Enumeration date
02/22/2007
Last updated
05/02/2019
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