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Individual
MR. JEREMIAH BERGEN
Active
Individual
MR. JEREMIAH BERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.007358
IL
101YP2500X
Professional Counselor
180007358
IL
Other
Enumeration date
12/29/2009
Last updated
06/11/2026
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