NPI | 1174819874 |
---|---|
Doing Business As | BERGEN COUNSELING CENTER |
Entity Type | Organization |
Authorized Contact | REBECCA J.-S. BERGEN President 773-512-4656 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2011-06-22 |
Last Update Date | 2021-03-17 |