Individual
BRIAN BERGSTEDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, LADC
Contact information
Practice address
332 WEST SUPERIOR STREET, SUITE 300, DULUTH, MN 55802
(218) 722-4379
(218) 722-4333
Mailing address
332 WEST SUPERIOR STREET, SUITE 300, DULUTH, MN 55802
(218) 722-4379
(218) 722-4333
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303201
MN
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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