Individual
BRAYDEN BERGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
4923 LINCOLN WAY, AMES, IA 50014-3616
(800) 531-4326
Mailing address
56299 140TH LN, STORY CITY, IA 50248-8615
(515) 451-4168
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
131954
IA
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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