Individual provider · Type 1 NPI

Tatiana L. Bergstrom, MA, LSATP

Addiction (Substance Use Disorder) Counselor · Woodbridge, VA

NPI number 1194325159 Active

Practice location

4001 Prince William Pkwy Ste 301
Woodbridge, VA 22192-7667

Call (703) 688-8541 Map

Fax (703) 213-5025

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0718000337 (VA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1194325159

Tatiana L. Bergstrom, MA, LSATP's National Provider Identifier is 1194325159, issued on Oct 29, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Woodbridge, VA. The record was last updated on Sep 20, 2024.