MR. David Bruce Sjostrom, B.A., LADC

NPI #1598950792 in Bemidji, Minnesota

Provider Information

NPI Number
1598950792
Entity Type
Individual
Name
MR. David Bruce Sjostrom, B.A., LADC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
B.A., LADC
Enumeration Date
Sep 11, 2007
Last Updated
Sep 11, 2007

Practice Location

Address
1510 BEMIDJI AVE N
Address 2
STE 13
ZIP Code
56601-3800
Phone
(218) 444-5740

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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