Organization
CENTERING YOUR LIFE PSYCHOLOGY PLLC
Active
Other names
Centering Your Life Psychology PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN KODET PHD LP (OWNER)
(612) 520-1244
Entity
Organization
Contact information
Practice address
1850 W WAYZATA BLVD # 220, LONG LAKE, MN 55356-4413
(612) 520-1244
Mailing address
1850 W WAYZATA BLVD # 220, LONG LAKE, MN 55356-4413
(612) 520-1244
(612) 887-9079
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750838181
1750838181
—
Enumeration date
03/04/2022
Last updated
03/27/2023
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