person
Lisa M Bergstrom, MA
Mental Health Counselor in Jacksonville, Florida
NPI 1942827142

Lisa M Bergstrom is a Mental Health Counselor based in Jacksonville, FL and is specialized in Mental Health. Lisa M Bergstrom practices in Jacksonville, FL and has the professional credentials of MA. The NPI Number for Lisa M Bergstrom is 1942827142 and holds a License No. (Florida).

The current practice location address for Lisa M Bergstrom is 4131 University Blvd S Ste 15, Jacksonville, FL and can be reached out via phone at 904-745-0067 and via fax at 904-745-1030.

Location: 4131 University Blvd S Ste 15, Jacksonville, FL, 32216-4346
person
Provider Profile Details
NPI Number
1942827142
Provider Name
Lisa M Bergstrom
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
4131 University Blvd S Ste 15, Jacksonville, FL, 32216-4346
Phone Number
904-745-0067
Fax Number
904-745-1030
Provider Enumeration Date
07/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4131 University Blvd S Ste 15
City
State
Zip
32216-4346
Phone Number
904-745-0067
Fax Number
904-745-1030
person
Provider Business Mailing Address Details
Address
4131 University Blvd S Ste 15
City
State
Zip
32216-4346
Phone Number
904-745-0067
Fax Number
904-745-1030
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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