Individual
CHRISTINE R BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
53 BAXTER BLVD STE 3, PORTLAND, ME 04101-1827
(603) 689-6562
Mailing address
PO BOX 568, KENNEBUNKPORT, ME 04046-0568
(603) 689-6562
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
LC23162
ME
Other
Enumeration date
02/24/2020
Last updated
01/30/2024
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