Individual provider · Type 1 NPI

Annalisa K. Bergman

Mental Health Counselor · Enid, OK

NPI number 1649595000 Active

Practice location

502 W Randolph Ave
Enid, OK 73701-3828

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1649595000

Annalisa K. Bergman's National Provider Identifier is 1649595000, issued on Mar 29, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Enid, OK. The record was last updated on Mar 29, 2010.