Individual
PAMELA BERGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6426 E MCDOWELL RD, MESA, AZ 85215-9738
(414) 412-9611
Mailing address
514 E HAMPTON AVE, MESA, AZ 85204-5725
(414) 412-9611
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
05/01/2023
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