Individual provider · Type 1 NPI
Lisa Van Bergen, LPC, LAC
Counselor · Charleston, SC
NPI number
1447723010
Active
Practice location
1242 Pauline Ave
Charleston, SC 29412-4030
Fax (843) 795-8290
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 520 (SC) |
| Counselor Primary | 101Y00000X | 2268 (SC) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1447723010
Lisa Van Bergen, LPC, LAC's National Provider Identifier is 1447723010, issued on Jan 7, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Charleston, SC. The record was last updated on Jan 7, 2019.