Individual provider · Type 1 NPI
Jensen J. Bergeron, M.A. L.P.C.
Professional Counselor · Lafayette, LA
NPI number
1437408549
Active
Practice location
600 Jefferson Street Suite 903
Lafayette, LA 70501
Mailing address
217 Treat Drive
Broussard, LA 70518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 4618 (LA) |
Professional Counselor: Definition to come...
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About NPI 1437408549
Jensen J. Bergeron, M.A. L.P.C.'s National Provider Identifier is 1437408549, issued on Sep 5, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lafayette, LA. The record was last updated on Sep 5, 2012.