| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MI JA KANG BERGERSON | 1659086601 | 2023-01-13 |
Mi Ja Kang Bergerson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1659086601. Registration indicates Mi Ja Kang Bergerson is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| Entity Type | Individual |
| Provider Name | Mi Ja Kang Bergerson LICSW |
| Practice Office Address | 2385 CHATEAU LN MOUND, MN US |
| Practice Office Telephone | 6127437893 |
| Mailing Address | 2385 CHATEAU LN MOUND, MN 553641750 US |
| Business Telephone | 6127437893 |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 28770
MN |