Individual provider · Type 1 NPI
Candee Lynn Bergstrom, LCSW
Mental Health Counselor · Fort Lee, VA
NPI number
1083703219
Active
Practice location
8200 Ave. B
Fort Lee, VA 23801-1717
Mailing address
6848 Bixby Ln.
Chesterfield, VA 23838
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 0904006409 (VA) |
| Mental Health Counselor | 101YM0800X | C005383 (NC) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Fort Lee
About NPI 1083703219
Candee Lynn Bergstrom, LCSW's National Provider Identifier is 1083703219, issued on Oct 12, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Lee, VA. The record was last updated on Jul 8, 2007.