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Individual

DIANE BERGSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
3212 1ST AVE S, BILLINGS, MT 59101-3814
(406) 245-2751
Mailing address
PO BOX 223, LEWISTOWN, MT 59457-0223

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
308
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
744803
BLUE CROSS BLUE SHIELD
MT
Enumeration date
12/05/2006
Last updated
06/12/2012
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