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EVAN PROULX BOSTROM

Mental Health Counselor

NPI: 1194461335Individual

Specialties, Licenses & Credentials

Mental Health CounselorPrimary

Counselor — Mental Health

Code: 101YM0800X

LPCC.0019543(CO)

Contact & Hours

Address
2625 REDWING RD STE 175
FORT COLLINS, CO 80526

Quick Facts

NPI
1194461335
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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