Individual
MICHELLE WESTBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
535 S 7TH ST, BISMARCK, ND 58504-5859
(701) 425-1058
Mailing address
PO BOX 2261, BISMARCK, ND 58502-2261
(701) 425-1058
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
588-8-15-07-194
ND
101YP2500X
Professional Counselor
Primary
588-8-15-07-194
ND
Other
Enumeration date
03/29/2012
Last updated
09/18/2012
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