Individual
DONNA BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
16150 NE 85TH ST, SUITE 120, REDMOND, WA 98052-3539
(425) 868-5777
Mailing address
1132 19TH AVE, APT E, SEATTLE, WA 98122-4764
(206) 478-0315
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
60261168
WA
Other
Enumeration date
10/29/2010
Last updated
01/28/2016
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