MEDICARE: REBECCA ANN LUND LPCC, LPC, RPT-S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	678	MN

General Provider Information

NPI Number	:	1336578145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA ANN LUND LPCC, LPC, RPT-S

Provider Business Mailing Address
First Line	:	2136 FORD PKWY # 5440
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55116-2850
Country	:	US
Telephone Number	:	612-655-6266
Fax Number	:

Provider Business Practice Location Address
First Line	:	2136 FORD PKWY # 5440
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55116-2850
Country	:	US
Telephone Number	:	612-655-6266
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2013
Last Update Date	:	03/21/2025

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