Individual provider · Type 1 NPI

Jared Brent Bostrom, LMFT, LADC, CPRP

Mental Health Counselor · Bloomington, MN

NPI number 1427329143 Active

Practice location

1100 E 80th St
Bloomington, MN 55420-1426

Call (952) 956-3101 Map

Fax (952) 564-3031

Mailing address

1100 E 80th St Ste 100
Bloomington, MN 55420-1426

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X4866770 (MN)
Addiction (Substance Use Disorder) Counselor 101YA0400X303234 (MN)
Marriage & Family Therapist 106H00000X2913 (MN)
Mental Health Counselor Primary 101YM0800X4866770 (MN)

Mental Health Counselor: Definition to come...

7 other providers at this address

Other mental health counselor providers in Bloomington

See all in Bloomington →

About NPI 1427329143

Jared Brent Bostrom, LMFT, LADC, CPRP's National Provider Identifier is 1427329143, issued on Jan 26, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomington, MN. The record was last updated on Nov 22, 2019.