NPI Registry.org

Mi Ja Kang Bergerson

NPI Registration Record

Provider / OrganizationNPIDate Certified
MI JA KANG BERGERSON16590866012023-01-13

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 TypeIndividual
Provider Name Mi Ja Kang Bergerson LICSW
Practice Office Address2385 CHATEAU LN
MOUND, MN US
Practice Office Telephone6127437893
Mailing Address2385 CHATEAU LN
MOUND, MN 553641750 US
Business Telephone6127437893
HPT Codes
CodePractice
License No
State
1041C0700X PRIMARYAccess 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
OPI Codes
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