LISA M BERGSTROM

JACKSONVILLE, FL
NPI1942827142
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-07-03
Last Update Date2020-07-03
Business Address
LISA M BERGSTROM MA
4131 UNIVERSITY BLVD S STE 15
JACKSONVILLE, FL 32216-4346
Phone number: 904-745-0067
Mailing Address
LISA M BERGSTROM MA
4131 UNIVERSITY BLVD S STE 15
JACKSONVILLE, FL 32216-4346
Phone number: 904-745-0067