Individual
JEDIDIAH BOLTON JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
7201 METRO BLVD STE 550, EDINA, MN 55439-1353
(651) 341-6529
Mailing address
7201 METRO BLVD STE 550, EDINA, MN 55439-1353
(651) 341-6529
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC01991
MN
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
12/05/2018
Last updated
05/03/2026
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