Individual
MR. ADAM WESTERN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC MA BS
Contact information
Practice address
8212 GARFIELD AVE S, BLOOMINGTON, MN 55420-2227
(407) 789-0500
Mailing address
8212 GARFIELD AVE S, BLOOMINGTON, MN 55420-2227
(407) 789-0500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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