Individual
MR. JAY SCOTT SIDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2475 15TH ST NW STE D, NEW BRIGHTON, MN 55112-5606
(651) 529-1541
(651) 529-1542
Mailing address
268 SARATOGA ST S, SAINT PAUL, MN 55105-2436
(651) 307-1725
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3519
MN
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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