person
Brady Jim Bergman, LPC-T
Mental Health Counselor in Wichita, Kansas
NPI 1811678790

Brady Jim Bergman is a Mental Health Counselor based in Wichita, KS and is specialized in Mental Health. Brady Jim Bergman practices in Wichita, KS and has the professional credentials of LPC-T. The NPI Number for Brady Jim Bergman is 1811678790 and holds a License No. 04452 (Kansas).

The current practice location address for Brady Jim Bergman is 7926 W 21St St N, Wichita, KS and can be reached out via phone at 316-272-5502 and via fax at 316-462-5640. You can also correspond with Brady Jim Bergman through the mailing address at 7926 W 21ST ST N, WICHITA, KS - 67205-1742 (mailing address contact number: 316-272-5502).

Location: 7926 W 21St St N, Wichita, KS, 67205-1742
person
Provider Profile Details
NPI Number
1811678790
Provider Name
Brady Jim Bergman
Credential
LPC-T
Provider Entity Type
Individual
Gender
Male
Address
7926 W 21St St N, Wichita, KS, 67205-1742
Phone Number
316-272-5502
Fax Number
316-462-5640
Provider Enumeration Date
07/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7926 W 21St St N
City
State
Zip
67205-1742
Phone Number
316-272-5502
Fax Number
316-462-5640
person
Provider Business Mailing Address Details
Address
7926 W 21St St N
City
State
Zip
67205-1742
Phone Number
316-272-5502
Fax Number
316-462-5640
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
04452 (Kansas)
Definition
Definition to come...
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