Individual
MR. ANDREW MARK BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCAII
Contact information
Practice address
301 W 1ST ST, DAYTON, OH 45402-3033
(937) 528-3923
Mailing address
301 W 1ST ST, DAYTON, OH 45402-3033
(937) 528-3923
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
169471
OH
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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