Individual provider · Type 1 NPI

Kriss Regan Sjostrom, LPCC

Professional Counselor · Eden Prairie, MN

NPI number 1164088589 Active

Practice location

6458 City West Pkwy
Eden Prairie, MN 55344-3245

Fax (612) 728-5301

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XCC02108 (MN)

Professional Counselor: Definition to come...

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About NPI 1164088589

Kriss Regan Sjostrom, LPCC's National Provider Identifier is 1164088589, issued on May 10, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Eden Prairie, MN. The record was last updated on May 10, 2019.