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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JONATHAN KODET, PHD,LP

Active

DR. JONATHAN KODET, PHD,LP is a Counseling Psychologist healthcare provider located in LONG LAKE, Minnesota. NPI 1750838181 is currently active in the NPPES registry. Verify at CMS.

Counseling Psychologist · LONG LAKE, MN

Registration Details

NPI Number
1750838181
Provider Type
Individual
Gender
Male
NPI Issued
Sep 1, 2016 (9.9857546333181 yrs)
Last Updated
Mar 27, 2023
Licenses
6186 (MN)
6186 (MN)

Practice Information

Address
1850 W WAYZATA BLVD # 220
LONG LAKE, MN, 553564413
Browse MN providers · Browse ZIP 55356
Phone
6125201244
Primary Specialty
Counseling Psychologist
103TC1900X
Additional Specialty
Mental Health Counselor
Additional Specialty
Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.