Individual
JAYME ANN BERGGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
1322 S 117TH ST, WEST ALLIS, WI 53214-2127
(414) 257-3622
(414) 257-3633
Mailing address
12600 W WEATHERSTONE CT, NEW BERLIN, WI 53151-6155
(262) 352-2661
(414) 257-3633
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
890-226
WI
103TA0400X
Addiction (Substance Use Disorder) Psychologist
16308-130
WI
104100000X
Social Worker
Primary
128895-121
WI
Other
Enumeration date
04/02/2013
Last updated
04/05/2013
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