Individual
MS. JENNIFER ROCHELLE BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
268 W 200 N, LOGAN, UT 84321-3802
(435) 557-0311
Mailing address
268 W 200 N, LOGAN, UT 84321-3802
(435) 557-0311
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
136699-3904
UT
106H00000X
Marriage & Family Therapist
Primary
7136699-3904
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7136699-3904
PP
UT
Enumeration date
07/19/2011
Last updated
04/22/2024
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