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Search › Georgia › 101YP2500X

Michael Bergquist, LPC

NPI 1396263588 · on the registry since 2017

Practice

Address
1637 Athens Hwy
Grayson, GA 30017
Phone
(678) 344-8268
Fax
(888) 627-6444
Organisation at this address
Creative Life Center, Llc
Life Health And Rehab, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-09-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia