Individual provider · Type 1 NPI
Amy Bergstrom, LPC
Professional Counselor · Wayne, PA
NPI number
1831602218
Active · reactivated Nov 14, 2017
Practice location
300 N Wayne Ave Apt 5
Wayne, PA 19087-3239
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor | 101YP2500X | LC9490 (MD) |
| Professional Counselor Primary | 101YP2500X | PC012237 (PA) |
Professional Counselor: Definition to come...
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About NPI 1831602218
Amy Bergstrom, LPC's National Provider Identifier is 1831602218, issued on Nov 8, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wayne, PA. The record was last updated on Oct 31, 2023.