Individual
RANDI A BERGLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, LPCC
Contact information
Practice address
1020 36TH ST S, FARGO, ND 58103-2237
(701) 297-7540
Mailing address
1020 36TH ST S, FARGO, ND 58103-2237
(701) 297-7540
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1632
ND
101YP2500X
Professional Counselor
Primary
753-6-1-13-266
ND
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/30/2008
Last updated
09/23/2024
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