Individual
RANDAL LOUISE WESTERGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC, BCBA
Contact information
Practice address
7010 HIGHWAY 7, ST LOUIS PARK, MN 55426
(952) 814-0207
Mailing address
7010 HIGHWAY 7, ST LOUIS PARK, MN 55426-4223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC03511
MN
103K00000X
Behavior Analyst
1-14-16436
MN
Other
Enumeration date
05/15/2018
Last updated
10/18/2022
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