Individual
MRS. PATTY (PATRICIA) J. BERTRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, RN, CADC
Contact information
Practice address
825 W STATE ST, #111, GENEVA, IL 60134-2080
(630) 927-2329
Mailing address
825 W STATE ST, #111, GENEVA, IL 60134-2080
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004532117
BLUE CROSS BLUE SHIELD PP
IL
Enumeration date
08/02/2006
Last updated
07/08/2007
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