KEVIN JAY BERGSTROM

NORTH PLATTE, NE
NPI1760134910
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NE  12870)
Enumeration Date2022-01-19
Last Update Date2022-01-19
Business Address
KEVIN JAY BERGSTROM
1221 W 17TH ST
NORTH PLATTE, NE 69101-2216
Phone number: 308-380-9196
Mailing Address
KEVIN JAY BERGSTROM
6459 S HOMESTEAD RD
NORTH PLATTE, NE 69101-6979
Phone number: 308-380-9196