Individual
MR. DANA MARK BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
44 FRONT ST, SUITE 490, WORCESTER, MA 01608-1733
(508) 753-0321
(508) 770-1732
Mailing address
44 FRONT ST, SUITE 490, WORCESTER, MA 01608-1733
(508) 753-0321
(508) 770-1732
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1649344821
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
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Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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