Individual
JORDAN BOLSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPCC
Contact information
Practice address
116 ASH AVE NW STE 2, WADENA, MN 56482-1367
(218) 632-4300
(188) 849-4151
Mailing address
116 ASH AVE NW STE 2, WADENA, MN 56482-1367
(218) 632-4300
(188) 849-4151
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
CC03366
MN
Other
Enumeration date
07/15/2021
Last updated
09/12/2024
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