Individual
MR. BRADLEY J BERGESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED, LMHP, LADC
Contact information
Practice address
2101 COURT ST, SIOUX CITY, IA 51104-3243
(712) 293-4700
Mailing address
2841 S SAINT AUBIN ST, SIOUX CITY, IA 51106-3420
(712) 223-4308
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
608
NE
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
3721
NE
Other
Enumeration date
04/17/2007
Last updated
11/22/2016
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