# EMBODIED COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831012962
- **Authorized official:** KAHLE RANDALL MA, LPCC, CIEC, CCTP (OWNER)
- **Authorized official phone:** (320) 212-7419

## Contact information

- **Practice address:** 1700 TECHNOLOGY DR NE STE 110, WILLMAR, MN 56201-2283
- **Practice address phone:** (320) 212-7419
- **Mailing address:** 1700 TECHNOLOGY DR NE STE 110, WILLMAR, MN 56201-2283
- **Mailing address phone:** (320) 212-7419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2026
- **Last updated:** 08/04/2026