Thomas Anton Bergvik MA, LPC

NPI 1265762827 - Counselor - 101YP2500X

NPI Details
NPI 1265762827
Gender Male
Enumeration Date 01/05/2010
Last Updated 02/03/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
3074 WHITNEY AVE
BUILDING I 2ND FLOOR
HAMDEN CT, 06518-2391, US
Phone (860) 305-2764
Fax (203) 287-2404
Business Location
3074 WHITNEY AVE
BUILDING I 2ND FLOOR
HAMDEN CT, 06518-2391, US
Phone (860) 305-2764
Fax (203) 287-2404
Toxanomy
Taxonomy Code 101YP2500X
License State Connecticut
License Number 2440
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According to our database, Mr. Thomas Anton Bergvik MA, LPC NPI is 1265762827, taxonomy code is 101YP2500X and license number is 2440, license state is located at Connecticut. Thomas Anton Bergvik MA, LPC physically located at 3074 Whitney Ave, Hamden CT, 06518-2391. NPI Number Thomas Anton Bergvik MA, LPC has the Individual type.

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1265762827 NPI number is provided on an as is basis without warranty of any kind. 1265762827 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Anton Bergvik MA, LPC are for informational purposes only.