Individual
DR. JUSTIN JAMES BOSECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3401 45TH ST S STE A, FARGO, ND 58104-8970
(701) 356-4384
(701) 356-4383
Mailing address
3060 FRONTIER WAY SOUTH, FARGO, ND 58103
(701) 232-2340
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/02/2010
Last updated
07/21/2022
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