DR. Jonathan Kodet, PHD,LP

NPI #1750838181 in Long Lake, Minnesota

Provider Information

NPI Number: 1750838181
Entity Type: Individual
Name: DR. Jonathan Kodet, PHD,LP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Counseling
Credential: PHD,LP
Enumeration Date: Sep 1, 2016
Last Updated: Mar 27, 2023

Practice Location

Address: 1850 W WAYZATA BLVD # 220
City: Long Lake
State: Minnesota
ZIP Code: 55356-4413
Phone: (612) 520-1244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Counseling — Counseling	103TC1900X	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Psychologist - Clinical — Clinical	103TC0700X

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