Individual
IGOR BEREGNOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, L.P.C
Contact information
Practice address
2083 CENTER AVE, 3H, FORT LEE, NJ 07024-7400
(201) 585-2334
(201) 585-2807
Mailing address
1090 GREEN CHAPEL RD., CRESCO, PA 18326
(570) 730-6399
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
8933
NY
101YP2500X
Professional Counselor
Primary
PC00194
NJ
103TC0700X
Clinical Psychologist
B1-000542
DE
103TC0700X
Clinical Psychologist
PS-015152
PA
Other
Enumeration date
01/30/2007
Last updated
08/02/2011
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