Individual
ANDREA DABBS VAN BERGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LPC, LAC, PT
Contact information
Practice address
550 CO-105, UNIT 100, MONUMENT, CO 80132-9097
(719) 321-6962
Mailing address
550 CO-105, UNIT 100, MONUMENT, CO 80132-9097
(719) 321-6962
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
NLC0004980
CO
Other
Enumeration date
04/13/2017
Last updated
05/20/2021
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