Organization
BERGERON COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN HAWKING (MANAGING MEMBER)
(708) 642-3422
Entity
Organization
Contact information
Practice address
1225 W GRANVILLE AVE APT 3B, CHICAGO, IL 60660-1928
(708) 642-3422
Mailing address
1225 W GRANVILLE AVE APT 3B, CHICAGO, IL 60660-1928
(708) 642-3422
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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