Individual
BRETT BERGVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
7146 HIGHWAY 60, WALLIS, TX 77485-9507
(979) 217-1581
(979) 217-1607
Mailing address
PO BOX 517, WALLIS, TX 77485-0517
(979) 451-3809
(979) 217-1607
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
67988
TX
Other
Enumeration date
02/21/2013
Last updated
08/05/2015
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