person
Mr. Frederick Douglas Bergh I, PPC
Mental Health Counselor in Casper, Wyoming
NPI 1568940211

Frederick Douglas Bergh I is a Mental Health Counselor based in Casper, WY and is specialized in Mental Health. Frederick Douglas Bergh I practices in Casper, WY and has the professional credentials of PPC. The NPI Number for Frederick Douglas Bergh I is 1568940211 and holds a License No. PAT-084 (Wyoming).

The current practice location address for Frederick Douglas Bergh I is 1541 Diamond Dr, Casper, WY and can be reached out via phone at 720-484-1961.

Location: 1541 Diamond Dr, Casper, WY, 82601-6247
person
Provider Profile Details
NPI Number
1568940211
Provider Name
Frederick Douglas Bergh I
Credential
PPC
Provider Entity Type
Individual
Gender
Male
Address
1541 Diamond Dr, Casper, WY, 82601-6247
Phone Number
720-484-1961
Fax Number
Provider Enumeration Date
08/03/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1541 Diamond Dr
City
State
Zip
82601-6247
Phone Number
720-484-1961
Fax Number
person
Provider Business Mailing Address Details
Address
1541 Diamond Dr
City
State
Zip
82601-6247
Phone Number
720-484-1961
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
PPC-1120 (Wyoming)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
PAT-084 (Wyoming)
Definition
Definition to come...
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