Thomas James Bergerson
Counselor, Professional in Cambridge, MN. Individual provider (NPI-1).
NPI number1700501103
StatusActive
Last updated in NPPESMar 7, 2024
Details
- NPI
- 1700501103
- Entity type
- Individual (NPI-1)
- Name
- Thomas James Bergerson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2022
- Certification date
- Mar 7, 2024
- Last updated
- Mar 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
340 Garfield St SCambridge, MN 55008-1772
Phone 320-982-0035
Mailing address
150 10th St Nw Ste 2Milaca, MN 56353-1737
Phone 320-983-2335
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