Individual provider · Type 1 NPI
Jan Michele Bergstrom, LMHC
Counselor · Arlington, MA
NPI number
1235395690
Active
Practice location
21 Randolph St
Arlington, MA 02474-8531
Fax (781) 777-1108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 4548 (MA) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1235395690
Jan Michele Bergstrom, LMHC's National Provider Identifier is 1235395690, issued on Aug 5, 2008. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Arlington, MA. The record was last updated on Aug 5, 2008.