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Individual

MRS. LINDA ALLEN BERGERON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, LMFT

Contact information

Practice address
809 ESPASIE RD LOT D, YOUNGSVILLE, LA 70592-5798
(337) 254-1803
Mailing address
PO BOX 192, MILTON, LA 70558-0192
(337) 254-1803

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2270
LA
106H00000X
Marriage & Family Therapist
374
LA

Other

Enumeration date
09/08/2010
Last updated
09/08/2010
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