Individual provider · Type 1 NPI

Elizabeth Bergeron

Mental Health Counselor · Salt Lake City, UT

NPI number 1205125697 Active

Practice location

5965 S 900 E # 430
Salt Lake City, UT 84121-1720

Call (801) 263-7100 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X3120663503 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1205125697

Elizabeth Bergeron's National Provider Identifier is 1205125697, issued on Apr 6, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salt Lake City, UT. The record was last updated on Apr 6, 2011.