Individual
CHRISTIE LYNN BERGHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RCSWI
Contact information
Practice address
1301 BEDFORD DR STE 101, MELBOURNE, FL 32940-1989
(321) 462-9111
Mailing address
813 POTOMAC DR, MELBOURNE, FL 32904-1803
(802) 559-3522
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ISW19163
FL
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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