Individual provider · Type 1 NPI

Trinity Kylyn Bergeron, LADC

Addiction (Substance Use Disorder) Counselor · Bemidji, MN

NPI number 1639728280 Active

Practice location

403 4th St NW Ste 300
Bemidji, MN 56601-3196

Call (218) 444-5155 Map

Fax (218) 333-3921

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X305250 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1639728280

Trinity Kylyn Bergeron, LADC's National Provider Identifier is 1639728280, issued on Sep 6, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bemidji, MN. The record was last updated on Jun 30, 2021.