Evan Proulx Bostrom
Evan Proulx Bostrom is a Mental Health Counselor in Fort Collins, Colorado. Licensed in Colorado. Registered with an NPI since 2022.
- Licensed in
- CO
- In the registry since
- 2022
Practice location Address checks out
2625 Redwing Rd Ste 175Fort Collins, CO 80526-6324
Phone: (970) 363-6651
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence LPCC.0019543 (CO) |
|---|
Record details
| NPI number | 1194461335 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 10, 2022 |
| Last updated in NPPES | May 10, 2022 |
| Certification date | May 10, 2022 |
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