Individual provider · Type 1 NPI
Kevin R. Bergeron, SUDPT
Addiction (Substance Use Disorder) Counselor · Milton, WA
NPI number
1700527280
Active
Practice location
1703 Douglas Ct
Milton, WA 98354-9727
Mailing address
500 SE Washington Ave
Chehalis, WA 98532-3058
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CO61275243 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
About NPI 1700527280
Kevin R. Bergeron, SUDPT's National Provider Identifier is 1700527280, issued on Apr 6, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Milton, WA. The record was last updated on Aug 13, 2024.