Individual
JOHN OSTBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMFT
Contact information
Practice address
925 12TH ST E, GLENCOE, MN 55336-2336
(320) 864-6139
Mailing address
2365 BUFORD AVE, SAINT PAUL, MN 55108-1642
(651) 491-7054
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2791
MN
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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