Individual provider · Type 1 NPI
Jordan Bolstad, M.ED, LPCC
Professional Counselor · Wadena, MN
NPI number
1760054027
Active
Practice location
116 Ash Ave NW Ste 2
Wadena, MN 56482-1367
Fax (188) 849-4151
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor Primary | 101YP2500X | CC03366 (MN) |
Professional Counselor: Definition to come...
4 other providers at this address
Other professional counselor providers in Wadena
About NPI 1760054027
Jordan Bolstad, M.ED, LPCC's National Provider Identifier is 1760054027, issued on Jul 15, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wadena, MN. The record was last updated on Sep 12, 2024.