JARED BRENT BOSTROM

BLOOMINGTON, MN
NPI1427329143
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MN  4866770)
Additional Taxonomies101Y00000X Counselor
(Licence: MN  4866770)
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  303234)
106H00000X Marriage & Family Therapist
(Licence: MN  2913)
Enumeration Date2012-01-26
Last Update Date2019-11-22
Business Address
Dr. JARED BRENT BOSTROM LMFT, LADC, CPRP
1100 E 80TH ST
BLOOMINGTON, MN 55420-1426
Phone number: 952-956-3101
Mailing Address
Dr. JARED BRENT BOSTROM LMFT, LADC, CPRP
1100 E 80TH ST STE 100
BLOOMINGTON, MN 55420-1426
Phone number: 952-956-3101