IndividualActive
Anna Bergman
NPI 1255079679 · Mental Health Counselor · Jericho, VT
Provider details
- NPI number
- 1255079679
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 068.0134606 (VT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
14 Willow Ln
Jericho, VT 05465-2068
Phone: (802) 858-9369
Approximate (ZIP-level) locationGet directions
Mailing address
14 Willow Ln
Jericho, VT 05465-2068
Registry dates
- Enumerated
- 2022-05-25
- Last updated
- 2022-05-25
- Certified
- 2022-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.