Gothberg, Bjorn Lars

Gothberg, Bjorn Lars is an individual health care provider with primary practice located at 1106 W 22Nd St , Upland CA 91784-1231. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Gothberg, Bjorn Lars can be contacted via phone (909) 949-8181.

Contact Information

Primary practice address
1106 W 22Nd St Upland CA 91784-1231
Phone: (909) 949-8181
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 130805 California

Profile Details

NPI number 1164872792
LBN Legal business name Gothberg, Bjorn Lars
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2016
Last updated Apr 12th, 2022 - about 4 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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