Individual
JOHN ARTHUR BRAGSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
11550 STILLWATER BLVD N, LAKE ELMO, MN 55042-8612
(651) 308-1200
Mailing address
11550 STILLWATER BLVD N, LAKE ELMO, MN 55042-8612
(651) 308-1200
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1204
MN
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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