Individual
DR. JONATHAN KODET
Active
Individual
DR. JONATHAN KODET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD,LP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
6186
MN
103TC1900X
Counseling Psychologist
Primary
6186
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103TC0700X
—
MN
Enumeration date
09/01/2016
Last updated
03/27/2023
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