# MRS. MARY BERGENS DODSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1114492956
- **Gender:** F
- **Credential:** LMFT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | T0510 | MS | — |
| 106H00000X | Marriage & Family Therapist | T0510 | MS | Yes |
| 171M00000X | Case Manager/Care Coordinator | T0510 | MS | — |
| 251B00000X | Case Management Agency | T0510 | MS | — |

## Other

- **Enumeration date:** 10/08/2018
- **Last updated:** 01/12/2025
