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John Brose, LP,LMFT,ADC
Marriage & Family Therapist in Minneapolis, Minnesota
NPI 1871652263

John Brose is a Marriage & Family Therapist based in Minneapolis, MN. John Brose practices in Minneapolis, MN and has the professional credentials of LP,LMFT,ADC. The NPI Number for John Brose is 1871652263 and holds a License No. 300760 (Minnesota).

The current practice location address for John Brose is 3100 W Lake St, Minneapolis, MN and can be reached out via phone at 612-925-6033 and via fax at 612-925-8496.

Location: 3100 W Lake St, Minneapolis, MN, 55416-4527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871652263
Provider Name
John Brose
Credential
LP,LMFT,ADC
Provider Entity Type
Individual
Gender
Male
Address
3100 W Lake St, Minneapolis, MN, 55416-4527
Phone Number
612-925-6033
Fax Number
612-925-8496
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
302943 01 MN USA NETWORK
6120000 01 MN MEDICA CHOICE
HP19953 01 MN HEALTHPARTNERS
10183C154 01 MN UCARE
94374 01 MN OPTUM
68740BR 01 MN BCBS
institution
Provider Business Practice Location Address Details
Address
3100 W Lake St
City
Minneapolis
State
Minnesota
Zip
55416-4527
Phone Number
612-925-6033
Fax Number
612-925-8496
person
Provider Business Mailing Address Details
Address
3100 W Lake St
City
Minneapolis
State
Minnesota
Zip
55416-4527
Phone Number
612-925-6033
Fax Number
612-925-8496
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
719 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
LP1349 (Minnesota)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
300760 (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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