Jan Michele Bergstrom in Arlington - Counselor
Jan Michele Bergstrom - NPI 1235395690
Jan Michele Bergstrom is a Counselor in Arlington, Massachusetts. Jan Michele Bergstrom practices all healthcare services and medical treatments related to Counselor. The NPI Number for Jan Michele Bergstrom is 1235395690. The last update date is 2008-08-05.
Jan Michele Bergstrom's current location address is 21 Randolph St, Arlington, Massachusetts. You can contact this provider via phone number 7817771172 and fax number 7817771108. The mailing address for Jan Michele Bergstrom is 21 Randolph St, Arlington, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jan Michele Bergstrom |
|---|---|
| Address | 21 Randolph St, Arlington, Massachusetts |
| Phone Number | 7817771172 |
| Fax Number | 7817771108 |
| Sole Proprietor | N |
| Credentials | LMHC |
NPI Number Detail
| NPI Number | 1235395690 |
|---|---|
| Provider Enumeration Date | 2008-08-05 |
| Last Updated Date | 2008-08-05 |
Provider Mailing Address Detail
| Address | 21 Randolph St |
|---|---|
| City | Arlington |
| State | Massachusetts (MA) |
| Post Code | 24748531 |
| Phone Number | 7817771172 |
| Fax Number | 7817771108 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 4548 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique 10-digit identification code issued to Jan Michele Bergstrom by the Centers for Medicare & Medicaid Services?
The Jan Michele Bergstrom has been assigned the NPI (National Provider Identifier) 1235395690 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Jan Michele Bergstrom?
The Jan Michele Bergstrom is situated at 21 Randolph St, in the city of Arlington, state of MA, with the zip code 24748531.
What is Jan Michele Bergstrom's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jan Michele Bergstrom's area of specialization is Counselor, and the corresponding taxonomy code that categorizes this field of practice is 101Y00000X.
When did the Jan Michele Bergstrom receive its 1235395690?
The Jan Michele Bergstrom was issued its 1235395690 on 2008-08-05, which is the date when the organization was assigned this unique identifier.
When was the information related to Jan Michele Bergstrom most recently updated or refreshed?
The details pertaining to the Jan Michele Bergstrom, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-08-05.
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