SearchMinnesota103TC0700X

Robert Van Siclen, PHD

NPI 1871674978 · on the registry since 2006 · sole proprietor

Practice

Address
277 Coon Rapids Blvd Nw
Suite 308
Coon Rapids, MN 55433
Phone
(763) 717-4979
Fax
(763) 717-4954
Organisation at this address
Green Lakes Llc
Growth & Healing Services
Sere Path Wellness Center Llc
Northern Pines Counseling Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
103TB0200X
103TC2200X
103T00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota