Individual
MR. DAVID BRUCE SJOSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A., LADC
Contact information
Practice address
1510 BEMIDJI AVE N, STE 13, BEMIDJI, MN 56601-3800
(218) 444-5740
(218) 333-0241
Mailing address
1510 BEMIDJI AVE N STE 13, BEMIDJI, MN 56601-3804
(218) 444-5740
(218) 333-0241
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301521
MN
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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