Organization
BERGERON COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN MICHAEL BERGERON LISW-CP (SOCIAL WORKER)
(843) 318-6619
Entity
Organization
Contact information
Practice address
1335 44TH AVE N STE 204, MYRTLE BEACH, SC 29577-5980
(843) 318-6619
Mailing address
421 WESTHAM DR, MURRELLS INLET, SC 29576-8298
(843) 318-6619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8649
SC
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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