Individual
JESSICA A BERGMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
803 S MAIN ST, WAUKOMIS, OK 73773-4241
(505) 991-5258
Mailing address
803 S MAIN ST, WAUKOMIS, OK 73773-4241
(505) 991-5258
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT01102
OK
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/24/2013
Last updated
12/13/2024
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