Individual provider · Type 1 NPI

Omie Bergquist, R15730824

Addiction (Substance Use Disorder) Counselor · Rancho Mirage, CA

NPI number 1831910884 Active

Practice location

69730 Highway 111 Ste 109
Rancho Mirage, CA 92270-2873

Call (760) 322-1777 Map

Mailing address

27 Lakeview Cir
Cathedral City, CA 92234-6056

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1573930824 (CA)

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

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About NPI 1831910884

Omie Bergquist, R15730824's National Provider Identifier is 1831910884, issued on Oct 22, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rancho Mirage, CA. The record was last updated on Oct 22, 2024.