Organization
BERGVIK COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS ANTON BERGVIK LPC (LICENSED PROFESSIONAL COUNSELOR)
(860) 305-2764
Entity
Organization
Contact information
Practice address
3074 WHITNEY AVE, BUILDING 1-2ND FLOOR, HAMDEN, CT 06518-2391
(860) 305-2764
(203) 287-2404
Mailing address
3074 WHITNEY AVE, BUILDING 1-2ND FLOOR, HAMDEN, CT 06518-2391
(860) 305-2764
(203) 287-2404
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2440
CT
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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