Individual
DUSTIN BERGERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4315 DIPLOMACY DR, BURT, ANCHORAGE, AK 99508-5925
(910) 495-3496
(907) 729-8998
Mailing address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926
(907) 729-5259
(907) 729-3349
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C007491
NC
Other
Enumeration date
09/21/2011
Last updated
12/18/2024
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