Individual
MICHAEL BERGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2120 W GUADALUPE RD STE 6, MESA, AZ 85202-7366
(602) 230-7373
(480) 628-8577
Mailing address
3101 N CENTRAL AVE STE 550, PHOENIX, AZ 85012-2635
(602) 230-7373
(602) 682-7455
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
LAMFT-10777
AZ
106H00000X
Marriage & Family Therapist
Primary
LMFT-16517
AZ
Other
Enumeration date
08/16/2022
Last updated
05/12/2026
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