Individual
MRS. CHRISTIA POWERS BERGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3046 WYNTREE CT, MATTHEWS, NC 28104-5173
(704) 821-5772
Mailing address
3046 WYNTREE CT, MATTHEWS, NC 28104-5173
(704) 821-5772
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4875
NC
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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