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Individual
MS. REBECCA T BERGUM
Active
Individual
MS. REBECCA T BERGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CSAC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002384
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11525477
CAQH
VA
01
—
282972
ANTHEM BCBS
VA
Enumeration date
11/09/2006
Last updated
10/06/2025
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