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Organization

ART OF VALIDATION AND CHANGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTEN A LUND LICSW (OWNER/PSYCHOTHERAPIST)
(612) 245-4683
Entity
Organization

Contact information

Practice address
790 CLEVELAND AVENUE SOUTH, SUTE 211, SUITE, 211, ST. PAUL, MN 55116-3845
(612) 245-4683
Mailing address
790 CLEVELAND AVENUE SOUTH,, SUITE, 211, ST. PAUL, MN 55116-3845
(612) 245-4683

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
02/24/2023
Last updated
02/24/2023
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