Individual provider · Type 1 NPI

Joel Bergman

Addiction (Substance Use Disorder) Counselor · Tampa, FL

NPI number 1689943482 Active

Practice location

3107 N 50th St
Tampa, FL 33619-2302

Call (813) 367-2317 Map

Fax (813) 367-2312

Mailing address

4612 N 56th St
Tampa, FL 33610-7123

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XMH9474 (FL)

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

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About NPI 1689943482

Joel Bergman's National Provider Identifier is 1689943482, issued on Dec 22, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tampa, FL. The record was last updated on Dec 22, 2011.