Individual provider · Type 1 NPI

Jacob Bergman

Mental Health Counselor · Des Moines, IA

NPI number 1295276897 Active

Practice location

1409 Clark St
Des Moines, IA 50314-1964

Mailing address

310 North Buxton Street
Indianola, IA 50125

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X083849 (IA)

Mental Health Counselor: Definition to come...

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About NPI 1295276897

Jacob Bergman's National Provider Identifier is 1295276897, issued on Mar 15, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Des Moines, IA. The record was last updated on Mar 15, 2017.