| Kevin M Bergstrom, LCPC | |
|
12350 Hall Shop Rd, Fulton, MD 20759-9774 | |
| (800) 491-5369 | |
| (301) 774-3678 |
| Full Name | Kevin M Bergstrom |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 12350 Hall Shop Rd, Fulton, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457863748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC7780 (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin M Bergstrom, LCPC Po Box 339, Ashton, MD 20861-0339 Ph: (800) 491-5369 | Kevin M Bergstrom, LCPC 12350 Hall Shop Rd, Fulton, MD 20759-9774 Ph: (800) 491-5369 |
Philip Baptiste, LCPC CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 8115 Maple Lawn Blvd Ste 350, Fulton, MD 20759 Phone: 301-960-7884 | |
Marie Celano, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8200 Old Columbia Rd, Fulton, MD 20759 Phone: 410-569-9497 Fax: 410-569-0094 | |
Donna J. Mazyck, LCPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11353 Liberty St, Fulton, MD 20759 Phone: 301-646-1829 | |
Mr. James King, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8160 Maple Lawn Blvd, Fulton, MD 20759 Phone: 240-888-4762 | |
Turquoise Bowen, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9405 Elizabeth Ct, Fulton, MD 20759 Phone: 240-360-1744 | |
Dana Behan, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8200 Old Columbia Rd, Fulton, MD 20759 Phone: 800-305-2089 Fax: 410-569-0094 |