Individual
MR. MICHAEL H BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMHC
Contact information
Practice address
2805 FAIRFIELD AVE, FORT WAYNE, IN 46807-1218
(260) 456-4880
(260) 456-3559
Mailing address
217 MARBOROUGH DR, FORT WAYNE, IN 46804-6459
(260) 414-3067
(260) 456-3559
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001702A
IN
Other
Enumeration date
11/14/2006
Last updated
02/14/2008
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