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Bjorn Lars Gothberg
Marriage & Family Therapist in Upland, California
NPI 1164872792

Bjorn Lars Gothberg is a Marriage & Family Therapist based in San Bernardino, CA. Bjorn Lars Gothberg practices in Upland, CA. The NPI Number for Bjorn Lars Gothberg is 1164872792 and holds a License No. (California).

The current practice location address for Bjorn Lars Gothberg is 1106 W 22Nd St, Upland, CA and can be reached out via phone at 909-949-8181.

Location: 1106 W 22Nd St, Upland, CA, 92408-1403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164872792
Provider Name
Bjorn Lars Gothberg
Credential
Provider Entity Type
Individual
Gender
Male
Address
1106 W 22Nd St, Upland, CA, 92408-1403
Phone Number
909-949-8181
Fax Number
Provider Enumeration Date
06/14/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1106 W 22Nd St
City
Upland
State
California
Zip
91784-1231
Phone Number
909-949-8181
Fax Number
person
Provider Business Mailing Address Details
Address
1106 W 22Nd St
City
Upland
State
California
Zip
91784-1231
Phone Number
909-949-8181
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
130805 (California)
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 supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
()
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
()
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
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