Bergvik Counseling Services, Llc | |
3074 Whitney Ave Building 1-2nd Floor Hamden CT 06518-2391 | |
(860) 305-2764 | |
(203) 287-2404 |
Full Name | Bergvik Counseling Services, Llc |
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Speciality | Counselor - Professional |
Location | 3074 Whitney Ave, Hamden, Connecticut |
Authorized Official Name and Position | Thomas Anton Bergvik (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 8603052764 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bergvik Counseling Services, Llc 3074 Whitney Ave Building 1-2nd Floor Hamden CT 06518-2391 Ph: (860) 305-2764 | Bergvik Counseling Services, Llc 3074 Whitney Ave Building 1-2nd Floor Hamden CT 06518-2391 Ph: (860) 305-2764 |
NPI Number | 1720409733 |
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Provider Enumeration Date | 12/17/2013 |
Last Update Date | 12/17/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720409733 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2440 (Connecticut) | Primary |
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