Individual
NOELLE DENAE BERGMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
390 E CEDAR ST, SEQUIM, WA 98382-3403
(360) 681-8463
(360) 681-8465
Mailing address
170 BONITA LN, PORT ANGELES, WA 98362-8187
(360) 550-7198
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61456865
WA
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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