Organization
CAMILLA O. BERGSTROM LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAMILLA O. HURD LCSW (PRESIDENT)
(406) 736-5613
Entity
Organization
Contact information
Practice address
208 N 29TH ST, SUITES 236-237, BILLINGS, MT 59101-1985
(406) 899-1008
Mailing address
533 EVANS RICEVILLE RD, BELT, MT 59412-8400
(406) 736-5613
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
327
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0503308
—
MT
Enumeration date
11/17/2006
Last updated
08/22/2020
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