Individual
MS. SUSAN MARIE BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED., LMHC, NCC
Contact information
Practice address
2052 CLEMENT ST, HONOLULU, HI 96822-3328
(808) 256-7145
(808) 946-4458
Mailing address
PO BOX 61442, HONOLULU, HI 96839-1442
(808) 256-7145
(808) 946-4458
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
19
HI
Other
Enumeration date
11/27/2008
Last updated
02/11/2009
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