Individual provider · Type 1 NPI
Dana Mark Bergman, M.ED.
Addiction (Substance Use Disorder) Counselor · Worcester, MA
NPI number
1053629360
Active
Practice location
44 Front St, Suite 490
Worcester, MA 01608-1733
Fax (508) 770-1732
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1649344821 (MA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1053629360
Dana Mark Bergman, M.ED.'s National Provider Identifier is 1053629360, issued on Sep 21, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Worcester, MA. The record was last updated on Sep 21, 2010.