Individual
JORDAN WESTERGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1833 3RD AVE, ANOKA, MN 55303-2424
(612) 924-3807
Mailing address
1833 3RD AVE, ANOKA, MN 55303-2424
(612) 924-3807
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
00000
MN
Other
Enumeration date
03/06/2023
Last updated
04/03/2025
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