Individual
RAE JEAN BERGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
15954 RIVERS EDGE DR, HAYWARD, WI 54843-7800
(715) 634-2541
(715) 394-2682
Mailing address
1500 N 34TH ST STE 200, SUPERIOR, WI 54880-4477
(715) 395-5380
(715) 394-2682
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16202
WI
Other
Enumeration date
08/25/2009
Last updated
05/07/2021
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