Kevin Jay Bergstrom
Kevin Jay Bergstrom is a Mental Health Counselor in North Platte, Nebraska. Practices as a sole proprietor. Licensed in Nebraska.
- Licensed in
- NE
- In the registry since
- 2022
Practice location Address checks out
1221 W 17th StNorth Platte, NE 69101-2216
Phone: (308) 380-9196
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 12870 (NE) |
|---|
Record details
| NPI number | 1760134910 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 19, 2022 |
| Last updated in NPPES | January 19, 2022 |
| Certification date | January 19, 2022 |
| Mailing address | 6459 S Homestead Rd, North Platte, NE 69101-6979 |
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