Individual
MS. MILIA BETH BERGKOETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS MFCC LCPC
Contact information
Practice address
1022 N VERMILION, DANVILLE, IL 61832
(217) 446-4747
(217) 446-1734
Mailing address
8802 S 700 W, WILLIAMSPORT, IN 47993
(765) 793-7318
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09227965
BC BS
—
Enumeration date
12/15/2006
Last updated
07/08/2007
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