Individual
JESSE J BERGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
332 2ND AVE, HAVRE, MT 59501-3530
(406) 399-1757
Mailing address
332 2ND AVE, HAVRE, MT 59501-3530
(406) 399-1757
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3404
MT
Other
Enumeration date
05/02/2014
Last updated
09/23/2024
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