Anna Viktoria Bergman, | |
14 Willow Ln, Jericho, VT 05465-2068 | |
(802) 858-9369 | |
Not Available |
Full Name | Anna Viktoria Bergman |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 14 Willow Ln, Jericho, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255079679 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 068.0134606 (Vermont) | Primary |
Entity Name | Bergman Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679334908 PECOS PAC ID: 0648712851 Enrollment ID: O20240603003938 |
Mailing Address | Practice Location Address |
---|---|
Anna Viktoria Bergman, 14 Willow Ln, Jericho, VT 05465-2068 Ph: (802) 858-9369 | Anna Viktoria Bergman, 14 Willow Ln, Jericho, VT 05465-2068 Ph: (802) 858-9369 |
Marcia Ellen Reese, MED LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 24 Foothills Drive, Jericho, VT 05465 Phone: 802-899-3800 Fax: 802-899-3800 | |
Anne L Edgley, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 213 Vt Route 15 Ste A, Jericho, VT 05465 Phone: 802-858-5504 | |
Savanna O'connor, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 59 Fields Ln, Jericho, VT 05465 Phone: 518-569-3369 |