Individual
CODY JAMES KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13911 RIDGEDALE DR STE 490, MINNETONKA, MN 55305-1772
(612) 293-5823
Mailing address
77 COMMERCIAL ST APT 531, BROOKLYN, NY 11222-8043
(952) 356-6515
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
05350
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
05/27/2026
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