Phoebe Bergvall

NPI #1679840656 in Salt Lake City, Utah

Provider Information

NPI Number
1679840656
Entity Type
Individual
Name
Phoebe Bergvall
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Nov 19, 2011
Last Updated
Nov 19, 2011

Practice Location

Address
344 E 100 S
State
Utah
ZIP Code
84111-1700
Phone
(801) 322-4257

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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