Individual provider · Type 1 NPI
Lesa Gail Bergman, LPC
Professional Counselor · Lake St. Louis, MO
NPI number
1003981713
Active
Practice location
206 Centre On The Lk
Lake St. Louis, MO 63367-1370
Fax (636) 625-1633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2001029221 (MO) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1003981713
Lesa Gail Bergman, LPC's National Provider Identifier is 1003981713, issued on Nov 21, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lake St. Louis, MO. The record was last updated on Jan 22, 2015.