Jill Bergen is a Counselor based in Milwaukee, WI. Jill Bergen practices in Milwaukee, WI. The NPI Number for Jill Bergen is 1801245840 and holds a License No. 16240-132 (Wisconsin).
The current practice location address for Jill Bergen is 7900 W Burleigh St, Milwaukee, WI and can be reached out via phone at 262-598-1392.
Location: 7900 W Burleigh St, Milwaukee, WI, 53222-4917
Provider Profile Details
NPI Number
1801245840
Provider Name
Jill Bergen
Credential
Provider Entity Type
Individual
Gender
Female
Address
7900 W Burleigh St, Milwaukee, WI, 53222-4917
Phone Number
262-598-1392
Fax Number
Provider Enumeration Date
06/09/2016
Last Update Date
12/14/2024
Provider Business Practice Location Address Details
Address
7900 W Burleigh St
City
State
Zip
53222-4917
Phone Number
262-598-1392
Fax Number
Provider Business Mailing Address Details
Address
7900 W Burleigh St
City
State
Zip
53222-4917
Phone Number
262-598-1392
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
6851-125 (Wisconsin)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
6851-125 (Wisconsin)
Definition
Definition to come...
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
16240-132 (Wisconsin)
Definition
Definition to come...
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