Healthcare Provider Details

I. General information

NPI: 1053317081
Provider Name (Legal Business Name): VERONICA LYNN SENKYR M.A., LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2005
Last Update Date: 11/06/2023
Certification Date: 11/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5793 180TH ST N
HUGO MN
55038-9353
US

IV. Provider business mailing address

5793 180TH ST N
HUGO MN
55038-9353
US

V. Phone/Fax

Practice location:
  • Phone: 651-647-1022
  • Fax: 651-464-2088
Mailing address:
  • Phone: 651-647-1022
  • Fax: 651-464-2088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1085
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: