Provider Demographics
NPI:1699387175
Name:TROSTER, BRENDEN (LMFT)
Entity Type:Individual
Prefix:
First Name:BRENDEN
Middle Name:
Last Name:TROSTER
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1314 OAKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ALBERT LEA
Mailing Address - State:MN
Mailing Address - Zip Code:56007-1539
Mailing Address - Country:US
Mailing Address - Phone:507-402-9154
Mailing Address - Fax:
Practice Address - Street 1:1314 OAKWOOD DR
Practice Address - Street 2:
Practice Address - City:ALBERT LEA
Practice Address - State:MN
Practice Address - Zip Code:56007-1539
Practice Address - Country:US
Practice Address - Phone:507-402-9154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-17
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3554106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist