| Penelope Bergeron Counseling | |
|
212 S Main St Ste 201 Spanish Fork UT 84660-5738 | |
| (385) 202-4089 | |
| (801) 877-9216 |
| Full Name | Penelope Bergeron Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 212 S Main St Ste 201, Spanish Fork, Utah |
| Authorized Official Name and Position | Penelope Lynn Bergeron (OWNER) |
| Authorized Official Contact | 8013187037 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penelope Bergeron Counseling 5702 W 10770 N Highland UT 84003-9087 Ph: (801) 318-7037 | Penelope Bergeron Counseling 212 S Main St Ste 201 Spanish Fork UT 84660-5738 Ph: (385) 202-4089 |
| NPI Number | 1275110769 |
|---|---|
| Provider Enumeration Date | 03/29/2021 |
| Last Update Date | 03/29/2021 |
| Certification Date | 03/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275110769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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