Search › Maryland › 101YP2500X
Kevin Bergstrom, LCPC
NPI 1457863748 · on the registry since 2017 · sole proprietor
Practice
- Address
- 12350 Hall Shop Rd
Fulton, MD 20759 - Phone
- (800) 491-5369
- Fax
- (301) 774-3678
- Organisation at this address
- Centrepointe Counseling, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-10-26
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 Maryland