Individual
ANNA VIKTORIA BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 WILLOW LN, JERICHO, VT 05465-2068
(802) 858-9369
Mailing address
14 WILLOW LN, JERICHO, VT 05465-2068
(802) 858-9369
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0134606
VT
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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