Individual
MICHELLE BOHMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LADC LPCC
Contact information
Practice address
604 5TH ST SW, ROCHESTER, MN 55902-3256
(651) 796-3556
Mailing address
1114 SPRUCE ST, FARMINGTON, MN 55024-1775
(952) 994-8612
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304462
MN
101YP2500X
Professional Counselor
Primary
1989
MN
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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