Individual
PRISCILLA BERGSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ABCARS
Contact information
Practice address
1909 CHEKER SQ, E HAZEL CREST, IL 60429-1442
(708) 647-3316
(708) 647-3361
Mailing address
1909 CHEKER SQ, E HAZEL CREST, IL 60429-1442
(708) 647-3316
(708) 647-3361
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16129
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16129
ILLINOIS CERTIFICATION BOARD INC
IL
Enumeration date
04/22/2016
Last updated
04/22/2016
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