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Evan Proulx Bostrom
NPI 1194461335 · on the registry since 2022
Practice
- Address
- 2625 Redwing Rd Ste 175
Fort Collins, CO 80526 - Phone
- (970) 363-6651
- Organisation at this address
- Peak Clarity Llc
Embodied Lotus Llc
Owens & Porter Pllc
Yes And Therapy Llc
Acupuncture By EricInferred from a shared address, not stated in the registry. - Clinicians at this address
- 36
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-05-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado