Organization
DAWN BERGMAN LPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN BERGMAN LPC (OWNER)
(314) 392-9556
Entity
Organization
Contact information
Practice address
106 4 SEASONSSHOP CTR, SUITE 103B, CHESTERFIELD, MO 63017-3173
(314) 392-9556
(314) 392-9558
Mailing address
106 FOUR SEASONS CENTER, SUITE 103B, CHESTERFIELD, MO 63017
(314) 392-9556
(314) 392-9558
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2002009342
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495747016
—
MO
Enumeration date
05/19/2011
Last updated
05/19/2011
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