Provider Demographics
NPI:1275368334
Name:SJOBERG, CORINNE ANNETTE (LAMFT)
Entity type:Individual
Prefix:
First Name:CORINNE
Middle Name:ANNETTE
Last Name:SJOBERG
Suffix:
Gender:F
Credentials:LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 308
Mailing Address - Street 2:
Mailing Address - City:HINCKLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55037-0308
Mailing Address - Country:US
Mailing Address - Phone:320-384-6443
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 308
Practice Address - Street 2:
Practice Address - City:HINCKLEY
Practice Address - State:MN
Practice Address - Zip Code:55037-0308
Practice Address - Country:US
Practice Address - Phone:320-384-6443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4569106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist