Individual
JACOB P BERGSTEDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IMFT, LMFT
Contact information
Practice address
801 TWELVE OAKS CENTER DR STE 812, WAYZATA, MN 55391-4625
(952) 956-2027
(952) 900-8132
Mailing address
801 TWELVE OAKS CENTER DR STE 812, WAYZATA, MN 55391-4625
(952) 956-2027
(952) 900-8132
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2331
MN
106H00000X
Marriage & Family Therapist
F-1500003
OH
Other
Enumeration date
08/05/2011
Last updated
11/11/2024
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