Bostrom, Jared Brent

Bostrom, Jared Brent is an individual health care provider with primary practice located at 1100 E 80Th St , Bloomington MN 55420-1426. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Bostrom, Jared Brent can be contacted via phone (952) 956-3101.

Contact Information

Primary practice address
1100 E 80Th St Bloomington MN 55420-1426
Phone: (952) 956-3101
Fax: (952) 564-3031
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 4866770 Minnesota
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 303234 Minnesota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2913 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4866770 Minnesota

Profile Details

NPI number 1427329143
LBN Legal business name Bostrom, Jared Brent
Credentials LMFT, LADC, CPRP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2012
Last updated Nov 22nd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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