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Organization

PROGRESS VALLEY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JARED BOSTROM DMFT,LMFT, LADC (CHIEF EXECUTIVE OFFICER)
(952) 956-3101
Entity
Organization

Contact information

Practice address
1100 E 80TH ST, BLOOMINGTON, MN 55420-1426
(952) 956-3100
(612) 869-3225
Mailing address
1100 E 80TH ST, BLOOMINGTON, MN 55420-1426
(952) 956-3100
(612) 869-3225

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
11/27/2023
Last updated
05/05/2026
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