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Individual

DR. DEBRA S. BERGERON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D., LMHC, LCMHC

Contact information

Practice address
6 DIXON AVE, CONCORD, NH 03301-4944
(603) 856-8163
(603) 856-8164
Mailing address
6 DIXON AVE, CONCORD, NH 03301-4944
(603) 856-8163
(603) 856-8164

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4606
MA
101YM0800X
Mental Health Counselor
521
NH
103TC0700X
Clinical Psychologist
Primary
1154
NH

Other

Enumeration date
01/28/2013
Last updated
01/28/2013
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