Individual
M JANE SHARKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
13537 WINDYHILL RD, MINNETONKA, MN 55305-1011
(952) 484-4885
(952) 525-0702
Mailing address
5637 BROOKLYN BLVD, BROOKLYN CENTER, MN 55429-3061
(763) 432-3926
(952) 525-0702
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1111
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144M8HE
GROUP PROVIDER NUMBER
MN
01
—
144M9SH
INDIVIDUAL PROVIDER NUMBE
MN
Enumeration date
06/27/2005
Last updated
12/05/2019
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