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Diane Tadano Bergin
Mental Health Counselor in Clovis, New Mexico
NPI 1508637844

Diane Tadano Bergin is a Mental Health Counselor based in Clovis, NM and is specialized in Mental Health. Diane Tadano Bergin practices in Clovis, NM. The NPI Number for Diane Tadano Bergin is 1508637844 and holds a License No. (New Mexico).

The current practice location address for Diane Tadano Bergin is 300 Commerce Way, Clovis, NM and can be reached out via phone at 575-935-6262.

Location: 300 Commerce Way, Clovis, NM, 88101-4751
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508637844
Provider Name
Diane Tadano Bergin
Credential
Provider Entity Type
Individual
Gender
Female
Address
300 Commerce Way, Clovis, NM, 88101-4751
Phone Number
575-935-6262
Fax Number
Provider Enumeration Date
01/15/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 Commerce Way
City
Clovis
State
New Mexico
Zip
88101-4751
Phone Number
575-935-6262
Fax Number
person
Provider Business Mailing Address Details
Address
300 Commerce Way
City
Clovis
State
New Mexico
Zip
88101-4751
Phone Number
575-935-6262
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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