| Dawn Bergman Lpc, Llc | |
|
106 4 Seasonsshop Ctr Suite 103b Chesterfield MO 63017-3173 | |
| (314) 392-9556 | |
| (314) 392-9558 |
| Full Name | Dawn Bergman Lpc, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 106 4 Seasonsshop Ctr, Chesterfield, Missouri |
| Authorized Official Name and Position | Dawn Bergman (OWNER) |
| Authorized Official Contact | 3143929556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dawn Bergman Lpc, Llc 106 Four Seasons Center Suite 103b Chesterfield MO 63017 Ph: (314) 392-9556 | Dawn Bergman Lpc, Llc 106 4 Seasonsshop Ctr Suite 103b Chesterfield MO 63017-3173 Ph: (314) 392-9556 |
| NPI Number | 1326331687 |
|---|---|
| Provider Enumeration Date | 05/19/2011 |
| Last Update Date | 05/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326331687 | NPI | - | NPPES |
| 495747016 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2002009342 (Missouri) | Primary |
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