Individual provider · Type 1 NPI
Frederick Douglas Bergh I, LPC, LAT
Professional Counselor · Casper, WY
NPI number
1568940211
Active
Practice location
701 Antler Dr Ste 213
Casper, WY 82601-1726
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LAT-404 (WY) |
| Professional Counselor Primary | 101YP2500X | LPC-2038 (WY) |
| Mental Health Counselor | 101YM0800X | LPC-2038 (WY) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1568940211
Frederick Douglas Bergh I, LPC, LAT's National Provider Identifier is 1568940211, issued on Aug 3, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Casper, WY. The record was last updated on Aug 7, 2024.