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Individual
JOHN BROSE
Active
Individual
JOHN BROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP, LMFT, ADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
300760
MN
103TC0700X
Clinical Psychologist
LP1349
MN
106H00000X
Marriage & Family Therapist
719
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10183C154
UCARE
MN
01
—
302943
USA NETWORK
MN
01
—
6120000
MEDICA CHOICE
MN
01
—
68740BR
BCBS
MN
01
—
94374
OPTUM
MN
01
—
HP19953
HEALTHPARTNERS
MN
Enumeration date
12/08/2006
Last updated
09/11/2025
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