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Dr. Jared Brent Bostrom, LMFT,LADC,CPRP
Mental Health Counselor in Bloomington, Minnesota
NPI 1427329143

Jared Brent Bostrom is a Mental Health Counselor based in Bloomington, MN and is specialized in Mental Health. Jared Brent Bostrom practices in Bloomington, MN and has the professional credentials of LMFT,LADC,CPRP. The NPI Number for Jared Brent Bostrom is 1427329143 and holds a License No. 4866770 (Minnesota).

The current practice location address for Jared Brent Bostrom is 1100 E 80Th St, Bloomington, MN and can be reached out via phone at 952-956-3101 and via fax at 952-564-3031. You can also correspond with Jared Brent Bostrom through the mailing address at 1100 E 80TH ST STE 100, BLOOMINGTON, MN - 55420-1426 (mailing address contact number: 952-956-3101).

Location: 1100 E 80Th St, Bloomington, MN, 55420-1426
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427329143
Provider Name
Jared Brent Bostrom
Credential
LMFT,LADC,CPRP
Provider Entity Type
Individual
Gender
Male
Address
1100 E 80Th St, Bloomington, MN, 55420-1426
Phone Number
952-956-3101
Fax Number
952-564-3031
Provider Enumeration Date
01/26/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1100 E 80Th St
City
Bloomington
State
Minnesota
Zip
55420-1426
Phone Number
952-956-3101
Fax Number
952-564-3031
person
Provider Business Mailing Address Details
Address
1100 E 80Th St Ste 100
City
Bloomington
State
Minnesota
Zip
55420-1426
Phone Number
952-956-3101
Fax Number
952-564-3031
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
4866770 (Minnesota)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
2913 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
303234 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
4866770 (Minnesota)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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