Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JARED BRENT BOSTROM, LMFT, LADC, CPRP
ActiveDR. JARED BRENT BOSTROM, LMFT, LADC, CPRP is a Mental Health Counselor healthcare provider located in BLOOMINGTON, Minnesota. NPI 1427329143 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · BLOOMINGTON, MN
Registration Details
- NPI Number
- 1427329143
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 26, 2012 (14.542433356376 yrs)
- Last Updated
- Nov 22, 2019
- Licenses
-
4866770 (MN)303234 (MN)2913 (MN)4866770 (MN)
Practice Information
- Address
-
1100 E 80TH STBLOOMINGTON, MN, 554201426Browse MN providers · Browse ZIP 55420
- Phone
- 9529563101
- Fax
- 9525643031
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Marriage & Family Therapist
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in BLOOMINGTON, MN
| Name | Credential | NPI |
|---|---|---|
| MARY ANN HAVSTAD | M.A. LICSW | 1568530954 |
| MS. MARGARET ADELE WEINKAUF I | — | 1093972358 |
| MR. HAROLD WAHLQUIST | MA MDIV | 1346400264 |
| JESSE SEVERT ELLIS | LMFT | 1376794354 |
| SOFIA ABDIRAHMAN | — | 1710620828 |
| FARREN GRACE SWANSON | LMFT | 1902183569 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.