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Individual
KYLE DAVID BOSSHART
Active
Individual
KYLE DAVID BOSSHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5508
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/26/2013
Last updated
03/10/2026
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