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Organization
JULIE BERGAN COUNSELING LLC
Active
Organization
JULIE BERGAN COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE ELIZABETH BERGAN MSW, LCSW (CLINICAL SOCIAL WORKER)
(574) 269-5829
Entity
Organization
Contact information
Practice address
313 S 3RD ST, GOSHEN, IN 46526-3709
(574) 535-0880
Mailing address
412 AUDITORIUM BLVD, WINONA LAKE, IN 46590-1064
(574) 269-5829
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
34007808A
IN
Other
Enumeration date
06/30/2017
Last updated
10/09/2019
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