Individual
MISS MEGAN BERGERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
528 N MAIN ST, PROVIDENCE, RI 02904-5757
(401) 276-4020
Mailing address
144 PROGRESS ST, LINCOLN, RI 02865-3030
(401) 465-7137
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/27/2014
Last updated
02/27/2019
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