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-- MIRANDA ANN BERGMAN -- LPCC, CADC

Individual Provider (NPI-1) Active

Counselor, Professional

Provider Information

NPI Number
1942627500
Provider Type
Individual Provider (NPI-1)
Credentials
LPCC, CADC
Status
Active

Contact & Location

Address
3309 DIXIE HWY, ERLANGER, KY, 410184047
Phone
(859) 609-3893

Specialties & Taxonomies

Counselor, Professional Primary License: KY #161536
Counselor, Mental Health License: WA #70028929
Counselor, Addiction (Substance Use Disorder) License: KY #170788

All Addresses

MAILING

3149 MEADOWAY CT

INDEPENDENCE, KY, 410516717

(859) 609-3893

LOCATION

3309 DIXIE HWY

ERLANGER, KY, 410184047

(859) 609-3893