Individual
ANDREW BOSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RMHCI
Contact information
Practice address
50 LAKE MORTON DR, LAKELAND, FL 33801-5343
(863) 288-0821
Mailing address
915 ARIANA ST APT 9, LAKELAND, FL 33803-1957
(863) 370-5867
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
24265
FL
Other
Enumeration date
07/18/2023
Last updated
08/01/2023
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