Michael Thomas Bergquist, LPC

NPI #1396263588 in Grayson, Georgia

Provider Information

NPI Number: 1396263588
Entity Type: Individual
Name: Michael Thomas Bergquist, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Sep 7, 2017
Last Updated: Sep 7, 2017

Practice Location

Address: 1637 ATHENS HWY
City: Grayson
State: Georgia
ZIP Code: 30017-1768
Phone: (678) 344-8268

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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