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General NPI Number Information
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NPI Number | 1235041161
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Entity Type | Individual
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Provider Name | VICTORIA ELIZABETH BERGSTROM MA
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Gender | Female
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 2006 OLD GREENBRIER RD STE 6
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City | CHESAPEAKE
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State | VA
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Zip | 23320-2648
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Country | US
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Telephone | 757-263-0434
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Fax | 757-486-2563
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Provider Business Mailing Address
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Address Line | 2006 OLD GREENBRIER RD STE 6
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City | CHESAPEAKE
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State | VA
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Zip | 23320-2648
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0704019297
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License Number State | VA
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