Individual
MRS. MARJORIE H. BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8655 E. VIA DE VENTURA, G-233, SCOTTSDALE, AZ 85258
(480) 991-8904
(480) 346-1010
Mailing address
8655 E. VIA DE VENTURA, G-233, SCOTTSDALE, AZ 85258
(480) 991-8904
(480) 346-1010
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-0876
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0876
L.P.C.
AZ
01
—
29746
N.C.C.
—
Enumeration date
09/09/2008
Last updated
09/09/2008
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