Individual
NICOLE LEANNE BERGSTRESSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LADC
Contact information
Practice address
5201 BRYANT AVE N, MINNEAPOLIS, MN 55430-3588
(612) 284-8115
Mailing address
5748 QUAIL AVE N, CRYSTAL, MN 55429-2809
(763) 439-8035
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305389
MN
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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