Bergquist, Jodie

Bergquist, Jodie is an sole proprietor health care provider with primary practice located at 5347 E 5Th St , Katy TX 77493-2053. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Bergquist, Jodie can be contacted via phone (832) 781-2153.

Contact Information

Primary practice address
5347 E 5Th St Katy TX 77493-2053
Phone: (832) 781-2153
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12785 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 71819 Texas

Profile Details

NPI number 1144679697
LBN Legal business name Bergquist, Jodie
Credentials MA, LPC, LCDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2016
Last updated Apr 24th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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