Individual provider · Type 1 NPI

Jo R. Bergeron

Mental Health Counselor · Lafayette, LA

NPI number 1689184343 Active

Practice location

2448 Johnston St
Lafayette, LA 70503-2756

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1689184343

Jo R. Bergeron's National Provider Identifier is 1689184343, issued on Oct 9, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lafayette, LA. The record was last updated on Oct 9, 2017.