TATIANA L BERGSTROM

WOODBRIDGE, VA
NPI1194325159
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA  0718000337)
Enumeration Date2020-10-29
Last Update Date2024-09-20
Business Address
TATIANA L BERGSTROM MA, LSATP
4001 PRINCE WILLIAM PKWY STE 301
WOODBRIDGE, VA 22192-7667
Phone number: 703-688-8541
Mailing Address
TATIANA L BERGSTROM MA, LSATP
4001 PRINCE WILLIAM PKWY STE 301
WOODBRIDGE, VA 22192-7667
Phone number: 703-688-8541
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