Organization
JULIE BERGAN COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE ELIZABETH BERGAN MSW, LCSW (CLINICAL SOCIAL WORKER)
(574) 269-5829
Entity
Organization
Contact information
Practice address
313 S 3RD ST, GOSHEN, IN 46526-3709
(574) 535-0880
Mailing address
412 AUDITORIUM BLVD, WINONA LAKE, IN 46590-1064
(574) 269-5829
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
34007808A
IN
Other
Enumeration date
06/30/2017
Last updated
10/09/2019
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