Individual
JONATHAN BOORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1875 NORTHWESTERN AVE S, STILLWATER, MN 55082-7534
(651) 439-4840
Mailing address
1380 210TH AVE, NEW RICHMOND, WI 54017-6132
(651) 319-1099
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3232
MN
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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