Organization
JAN JIRAK, MA,LP,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN JIRAK MA,LP (LICENSED PSYCHOLOGIST)
(952) 985-1097
Entity
Organization
Contact information
Practice address
314 CLIFTON AVE STE 303, MINNEAPOLIS, MN 55403-3376
(952) 985-1097
Mailing address
314 CLIFTON AVE STE 303, MINNEAPOLIS, MN 55403-3376
(952) 985-1097
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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