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Organization
BERGVIK COUNSELING SERVICES, LLC
Active
Organization
BERGVIK COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS ANTON BERGVIK LPC (LICENSED PROFESSIONAL COUNSELOR)
(860) 305-2764
Entity
Organization
Contact information
Practice address
3074 WHITNEY AVE, BUILDING 1-2ND FLOOR, HAMDEN, CT 06518-2391
(860) 305-2764
(203) 287-2404
Mailing address
3074 WHITNEY AVE, BUILDING 1-2ND FLOOR, HAMDEN, CT 06518-2391
(860) 305-2764
(203) 287-2404
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2440
CT
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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