Individual
SCOTT ALAN SIEGERSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC ,NCC
Contact information
Practice address
121 S MARSHALL ST, CALEDONIA, MN 55921-1326
(507) 454-4341
(507) 453-6267
Mailing address
166 MAIN ST, WINONA, MN 55987-3405
(507) 454-4341
(507) 453-6267
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC00968
MN
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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