JACOB BERGMAN

DES MOINES, IA
NPI1295276897
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IA  083849)
Enumeration Date2017-03-15
Last Update Date2017-03-15
Business Address
-- JACOB BERGMAN
1409 CLARK ST
DES MOINES, IA 50314-1964
Phone number: 515-643-6500
Mailing Address
-- JACOB BERGMAN
310 NORTH BUXTON STREET
INDIANOLA, IA 50125
Phone number: 515-358-7608
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