Search › Minnesota › 101YM0800X
Jared Bostrom, LMFT, LADC, CPRP
NPI 1427329143 · on the registry since 2012
Practice
- Address
- 1100 E 80th St
Bloomington, MN 55420 - Phone
- (952) 956-3101
- Fax
- (952) 564-3031
- Organisation at this address
- Progress Valley, Inc.
Progress Valley, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101Y00000X
101YA0400X
106H00000X - Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-11-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota