Individual
MS. JAN MICHELE BERGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
21 RANDOLPH ST, ARLINGTON, MA 02474-8531
(781) 777-1172
(781) 777-1108
Mailing address
21 RANDOLPH ST, ARLINGTON, MA 02474-8531
(781) 777-1172
(781) 777-1108
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4548
MA
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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