Individual provider · Type 1 NPI

Sally Bergstrom

Mental Health Counselor · Salem, OR

NPI number 1457414914 Active

Practice location

2425 Lancaster Dr NE
Salem, OR 97305-1220

Call (503) 566-2132 Map

Fax (503) 566-2134

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1457414914

Sally Bergstrom's National Provider Identifier is 1457414914, issued on Dec 18, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salem, OR. The record was last updated on Jul 8, 2007.