OMIE BERGQUIST

RANCHO MIRAGE, CA
NPI1831910884
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1573930824)
Enumeration Date2024-10-22
Last Update Date2024-10-22
Business Address
OMIE BERGQUIST R15730824
69730 HIGHWAY 111 STE 109
RANCHO MIRAGE, CA 92270-2873
Phone number: 760-322-1777
Mailing Address
OMIE BERGQUIST R15730824
27 LAKEVIEW CIR
CATHEDRAL CITY, CA 92234-6056
Phone number: 760-668-9399
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