Individual
JENNIFER OSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, LPCC
Contact information
Practice address
1422 W LAKE ST STE 314, MINNEAPOLIS, MN 55408-2616
(612) 445-0225
Mailing address
104 E 36TH ST, MINNEAPOLIS, MN 55408-4538
(612) 209-0046
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MN
101YP2500X
Professional Counselor
Primary
5363
MN
Other
Enumeration date
10/11/2021
Last updated
12/23/2025
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