Mr. FREDERICK DOUGLAS BERGH I LPC, LAT
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1568940211- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPC, LAT
- Status
- Active
Contact & Location
- Address
- 701 ANTLER DR STE 213, CASPER, WY, 826011726
- Phone
- (720) 484-1961
Specialties & Taxonomies
Counselor, Addiction (Substance Use Disorder)
License: WY #LAT-404
Counselor, Professional
Primary License: WY #LPC-2038
Counselor, Mental Health
License: WY #LPC-2038