person
Kevin Jay Bergstrom
Mental Health Counselor in North Platte, Nebraska
NPI 1760134910

Kevin Jay Bergstrom is a Mental Health Counselor based in North Platte, NE and is specialized in Mental Health. Kevin Jay Bergstrom practices in North Platte, NE. The NPI Number for Kevin Jay Bergstrom is 1760134910 and holds a License No. 12870 (Nebraska).

The current practice location address for Kevin Jay Bergstrom is 1221 W 17Th St, North Platte, NE and can be reached out via phone at 308-380-9196.

Location: 1221 W 17Th St, North Platte, NE, 69101-6979
person
Provider Profile Details
NPI Number
1760134910
Provider Name
Kevin Jay Bergstrom
Credential
Provider Entity Type
Individual
Gender
Male
Address
1221 W 17Th St, North Platte, NE, 69101-6979
Phone Number
308-380-9196
Fax Number
Provider Enumeration Date
01/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1221 W 17Th St
City
State
Zip
69101-2216
Phone Number
308-380-9196
Fax Number
person
Provider Business Mailing Address Details
Address
1221 W 17Th St
City
State
Zip
69101-2216
Phone Number
308-380-9196
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
12870 (Nebraska)
Definition
Definition to come...
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