Organization
BERGEN PSYCHOLOGICAL SERVICES, INC.
Active
Other names
Bergen Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA J.-S. BERGEN PH.D (PRESIDENT)
(773) 512-4656
Entity
Organization
Contact information
Practice address
25 E. WASHINGTON, SUITE 1206, CHICAGO, IL 60602
(773) 512-4656
(312) 254-3172
Mailing address
4015 N DRAKE AVE, CHICAGO, IL 60618-2219
(773) 512-4656
(844) 673-6162
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/22/2011
Last updated
03/17/2021
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