Individual provider · Type 1 NPI
Daniel Paul Bergman, M.S., L.P.C., N.C.C
Professional Counselor · Green Bay, WI
NPI number
1710054101
Active
Practice location
1247 Raleigh St
Green Bay, WI 54304-3848
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 3484-125 (WI) |
| Mental Health Counselor | 101YM0800X | 3484-125 (WI) |
Professional Counselor: Definition to come...
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About NPI 1710054101
Daniel Paul Bergman, M.S., L.P.C., N.C.C's National Provider Identifier is 1710054101, issued on Nov 29, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Green Bay, WI. The record was last updated on Jan 8, 2010.