NPI | 1316418411 |
---|---|
Professional Name | BERGEN S STARKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 60753545) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 00005653) |
Enumeration Date | 2018-12-16 |
Last Update Date | 2021-06-11 |