Individual provider · NPI-1

Nichole Bergstrand

Counselor, Mental Health · Roseville, CA

NPI number1730065384
StatusActive
Last updated in NPPESAug 13, 2025

Details

NPI
1730065384
Entity type
Individual (NPI-1)
Name
Nichole Bergstrand
Sex
Female
Sole proprietor
No
Enumeration date
Aug 11, 2025
Certification date
Aug 13, 2025
Last updated
Aug 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes
373H00000X Day Training/Habilitation Specialist––

Other names

  • Nichole Liguori (Former Name)

Practice location

101 Cirby Hills Dr
Roseville, CA 95678-4360

Phone 916-787-8900

Mailing address

101 Cirby Hills Dr
Roseville, CA 95678-4360

Phone 916-872-6560

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