Kevin M. Bergstrom, LCPC

NPI #1457863748 in Fulton, Maryland

Provider Information

NPI Number
1457863748
Entity Type
Individual
Name
Kevin M. Bergstrom, LCPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LCPC
Enumeration Date
Oct 26, 2017
Last Updated
Oct 26, 2017

Practice Location

Address
12350 HALL SHOP RD
City
Fulton
ZIP Code
20759-9774
Phone
(800) 491-5369

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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