| NPI | 1477680668 |
|---|---|
| Former Legal Business Name | CAROLE BERGEN PH.D. |
| Entity Type | Organization |
| Authorized Contact | CAROLE BERGEN President 253-853-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA LF00001753) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF00001753) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |