person
Tatiana Bergstrom, LSATP
Addiction (Substance Use Disorder) Counselor in Annandale, Virginia
NPI 1194325159

Tatiana Bergstrom is an Addiction (Substance Use Disorder) Counselor based in Annandale, VA and is specialized in Addiction (Substance Use Disorder). Tatiana Bergstrom practices in Annandale, VA and has the professional credentials of LSATP. The NPI Number for Tatiana Bergstrom is 1194325159 and holds a License No. 0718000337 (Virginia).

The current practice location address for Tatiana Bergstrom is 5105Q Backlick Rd, Annandale, VA and can be reached out via phone at 703-546-6474 and via fax at 703-256-1596. You can also correspond with Tatiana Bergstrom through the mailing address at 5105Q BACKLICK RD, ANNANDALE, VA - 22003-6072 (mailing address contact number: 703-546-6474).

Location: 5105Q Backlick Rd, Annandale, VA, 22003-6072
person
Provider Profile Details
NPI Number
1194325159
Provider Name
Tatiana Bergstrom
Credential
LSATP
Provider Entity Type
Individual
Gender
Female
Address
5105Q Backlick Rd, Annandale, VA, 22003-6072
Phone Number
703-546-6474
Fax Number
703-256-1596
Provider Enumeration Date
10/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5105Q Backlick Rd
City
State
Zip
22003-6072
Phone Number
703-546-6474
Fax Number
703-256-1596
person
Provider Business Mailing Address Details
Address
5105Q Backlick Rd
City
State
Zip
22003-6072
Phone Number
703-546-6474
Fax Number
703-256-1596
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0718000337 (Virginia)
Definition
Definition to come...
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