Individual
KRISS REGAN SJOSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
6458 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3245
(952) 767-6966
(612) 728-5301
Mailing address
6458 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3245
(952) 767-6966
(612) 728-5301
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC02108
MN
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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