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BJORN LARS GOTHBERG NPI 1164872792


NPI Information

NPI: 1164872792
Provider Name: BJORN LARS GOTHBERG
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual
Address:
1106 W 22ND ST
UPLAND, CA
ZIP 91784
Phone: (909) 949-8181
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Bjorn Lars Gothberg is a marriage family therapist in Upland, CA. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. Bjorn Lars Gothberg NPI is 1164872792. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1106 W 22ND ST
UPLAND, CA
ZIP 91784-231
Phone: (909) 949-8181

The enumeration date for this NPI number is 6/14/2016 and was last updated on 4/12/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
2171M00000XCase Manager/Care CoordinatorNo
3106H00000XMarriage & Family Therapist130805CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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