Individual
JONATHON DAVID SIKORSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LP
Contact information
Practice address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431
(952) 831-8742
(952) 831-1626
Mailing address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 831-8742
(952) 831-1626
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10061
NE
101YM0800X
Mental Health Counselor
4807
NE
101YM0800X
Mental Health Counselor
539
NE
103TC0700X
Clinical Psychologist
Primary
LP6449
MN
Other
Enumeration date
06/10/2015
Last updated
09/20/2019
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