| Bergman Counseling | |
|
14 Willow Ln Jericho VT 05465-2068 | |
| (802) 858-9369 | |
| Not Available |
| Full Name | Bergman Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 14 Willow Ln, Jericho, Vermont |
| Authorized Official Name and Position | Anna Bergman (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 8028589369 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bergman Counseling 14 Willow Ln Jericho VT 05465-2068 Ph: () - | Bergman Counseling 14 Willow Ln Jericho VT 05465-2068 Ph: (802) 858-9369 |
| NPI Number | 1679334908 |
|---|---|
| Provider Enumeration Date | 01/23/2024 |
| Last Update Date | 03/22/2024 |
| Certification Date | 03/22/2024 |
| Medicare PECOS PAC ID | 0648712851 |
|---|---|
| Medicare Enrollment ID | O20240603003938 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679334908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Anna Viktoria Bergman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255079679 PECOS PAC ID: 1557803764 Enrollment ID: I20240603004073 |
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