Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bjorn Lars Gothberg

Individual provider Counselor · NPI 1164872792

Bjorn Lars Gothberg is a Counselor in Upland, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

1106 W 22nd St
Upland, CA 91784-1231
Phone: (909) 949-8181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 130805 (CA)
Counselor Taxonomy 101Y00000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1164872792
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 14, 2016
Last updated in NPPESApril 12, 2022
Certification dateApril 12, 2022
Mailing address237 W Mill St, San Bernardino, CA 92408-1403

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