person
Evan Proulx Bostrom
Mental Health Counselor in Fort Collins, Colorado
NPI 1194461335

Evan Proulx Bostrom is a Mental Health Counselor based in Fort Collins, CO and is specialized in Mental Health. Evan Proulx Bostrom practices in Fort Collins, CO. The NPI Number for Evan Proulx Bostrom is 1194461335 and holds a License No. LPCC.0019543 (Colorado).

The current practice location address for Evan Proulx Bostrom is 2625 Redwing Rd Ste 175, Fort Collins, CO and can be reached out via phone at 970-363-6651.

Location: 2625 Redwing Rd Ste 175, Fort Collins, CO, 80522-1112
person
Provider Profile Details
NPI Number
1194461335
Provider Name
Evan Proulx Bostrom
Credential
Provider Entity Type
Individual
Gender
Male
Address
2625 Redwing Rd Ste 175, Fort Collins, CO, 80522-1112
Phone Number
970-363-6651
Fax Number
Provider Enumeration Date
05/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2625 Redwing Rd Ste 175
City
State
Zip
80526-6324
Phone Number
970-363-6651
Fax Number
person
Provider Business Mailing Address Details
Address
2625 Redwing Rd Ste 175
City
State
Zip
80526-6324
Phone Number
970-363-6651
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPCC.0019543 (Colorado)
Definition
Definition to come...
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