Individual
AMARINA DAWN BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SST, BSW
Contact information
Practice address
16647 WYOMING ST, DETROIT, MI 48221-2848
(313) 342-3606
(313) 861-0413
Mailing address
16647 WYOMING ST, DETROIT, MI 48221-2848
(313) 342-3606
(313) 861-0413
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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