Individual
BERGEN S STARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
616 6TH ST, BREMERTON, WA 98337-1420
(360) 377-3776
(360) 373-2096
Mailing address
PO BOX 960, BREMERTON, WA 98337-0212
(360) 337-3776
(360) 373-2096
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00005653
WA
101YM0800X
Mental Health Counselor
Primary
60753545
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030279
—
WA
Enumeration date
12/16/2018
Last updated
06/11/2021
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