Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN M. BERGSTROM, LCPC
Active Sole ProprietorKEVIN M. BERGSTROM, LCPC is a Professional Counselor healthcare provider located in FULTON, Maryland. NPI 1457863748 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · FULTON, MD
Registration Details
- NPI Number
- 1457863748
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 26, 2017 (8.618292656613 yrs)
- Last Updated
- Oct 26, 2017
- License
-
LC7780 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12350 HALL SHOP RDFULTON, MD, 207599774Browse MD providers · Browse ZIP 20759
- Phone
- 8004915369
- Fax
- 3017743678
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in FULTON, MD
| Name | Credential | NPI |
|---|---|---|
| DONNA J. MAZYCK | LCPC, NCC | 1215018247 |
| DANA BEHAN | LCPC | 1538202197 |
| MARIE CELANO | LCPC | 1144635616 |
| KIM YOST | — | 1609253517 |
| JAMES TOBIN | — | 1659977569 |
| TURQUOISE BOWEN | LGPC | 1508515404 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.