Individual
ERIN M BERGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS.ED., LCPC, ACS
Contact information
Practice address
5290 WILLIAMS DR, ROSCOE, IL 61073-9222
(262) 607-1234
Mailing address
229 MARTIN ST, SHARON, WI 53585-9617
(102) 626-0712
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.010642
IL
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
10/01/2021
Last updated
02/23/2022
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