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Mrs. Tanya Marie Bergen, LICSW
Mental Health Counselor in Concord, Massachusetts
NPI 1861742140

Tanya Marie Bergen is a Mental Health Counselor based in Concord, MA and is specialized in Mental Health. Tanya Marie Bergen practices in Concord, MA and has the professional credentials of LICSW. The NPI Number for Tanya Marie Bergen is 1861742140 and holds a License No. (Massachusetts).

The current practice location address for Tanya Marie Bergen is 133 Old Road To 9 Acre Cor, Concord, MA and can be reached out via phone at 978-369-1400.

Location: 133 Old Road To 9 Acre Cor, Concord, MA, 01742-4159
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861742140
Provider Name
Tanya Marie Bergen
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
133 Old Road To 9 Acre Cor, Concord, MA, 01742-4159
Phone Number
978-369-1400
Fax Number
Provider Enumeration Date
09/14/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
133 Old Road To 9 Acre Cor
City
Concord
State
Massachusetts
Zip
01742-4159
Phone Number
978-369-1400
Fax Number
person
Provider Business Mailing Address Details
Address
133 Old Road To 9 Acre Cor
City
Concord
State
Massachusetts
Zip
01742-4159
Phone Number
978-369-1400
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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