person
Elizabeth Bergman
Professional Counselor in Genoa, Ohio
NPI 1659879849

Elizabeth Bergman is a Professional Counselor based in Genoa, OH and is specialized in Professional. Elizabeth Bergman practices in Genoa, OH. The NPI Number for Elizabeth Bergman is 1659879849 and holds a License No. C.1800896 (Ohio).

The current practice location address for Elizabeth Bergman is 635 Main St, Genoa, OH and can be reached out via phone at 419-461-1983 and via fax at 419-461-3516.

Location: 635 Main St, Genoa, OH, 43430-1411
person
Provider Profile Details
NPI Number
1659879849
Provider Name
Elizabeth Bergman
Credential
Provider Entity Type
Individual
Gender
Female
Address
635 Main St, Genoa, OH, 43430-1411
Phone Number
419-461-1983
Fax Number
419-461-3516
Provider Enumeration Date
01/23/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0266112 05 OH
institution
Provider Business Practice Location Address Details
Address
635 Main St
City
State
Zip
43430-1635
Phone Number
419-461-1983
Fax Number
419-461-3516
person
Provider Business Mailing Address Details
Address
635 Main St
City
State
Zip
43430-1635
Phone Number
419-461-1983
Fax Number
419-461-3516
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
E.2001932 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C.1800896 (Ohio)
Definition
Definition to come...
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