Individual
DR. DEBORAH BERGHUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC, LPCC
Contact information
Practice address
3208 LAKE PARK WAY APT 302, LONGMONT, CO 80503-7804
(937) 344-3939
Mailing address
PO BOX 7146, BOULDER, CO 80306-7146
(937) 344-3939
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
E.1800686
OH
101YP2500X
Professional Counselor
Primary
LPC.0016707
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E.1800686
CSWMFT BOARD
OH
01
—
LPC.0016707
COLORADO DEPARTMENT OF REGULATORY AGENCIES DIVISION OF PROFESSIONS AND OCCUPATIO
CO
Enumeration date
01/25/2013
Last updated
09/26/2023
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