Brady Bergman, LPC-T

NPI 1811678790 · on the registry since 2023 · sole proprietor

Practice

Address: 7926 W 21st St N
Wichita, KS 67205
Phone: (316) 272-5502
Fax: (316) 462-5640
Organisation at this address: Kjm Ventures Inc
Restoration Counseling & Consultation, P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: KS
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-08-24

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 Kansas