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Miranda Ann Bergman, LPCC,CADC
Addiction (Substance Use Disorder) Counselor in Erlanger, Kentucky
NPI 1942627500

Miranda Ann Bergman is an Addiction (Substance Use Disorder) Counselor based in Independence, KY and is specialized in Addiction (Substance Use Disorder). Miranda Ann Bergman practices in Erlanger, KY and has the professional credentials of LPCC,CADC. The NPI Number for Miranda Ann Bergman is 1942627500 and holds a License No. 161536 (Kentucky).

The current practice location address for Miranda Ann Bergman is 3309 Dixie Hwy, Erlanger, KY and can be reached out via phone at 859-609-3893.

Location: 3309 Dixie Hwy, Erlanger, KY, 41051-6717
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Provider Profile Details
NPI Number
1942627500
Provider Name
Miranda Ann Bergman
Credential
LPCC,CADC
Provider Entity Type
Individual
Gender
Female
Address
3309 Dixie Hwy, Erlanger, KY, 41051-6717
Phone Number
859-609-3893
Fax Number
Provider Enumeration Date
03/20/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100337850 05 KY
institution
Provider Business Practice Location Address Details
Address
3309 Dixie Hwy
City
State
Zip
41018-4047
Phone Number
859-609-3893
Fax Number
person
Provider Business Mailing Address Details
Address
3309 Dixie Hwy
City
State
Zip
41018-4047
Phone Number
859-609-3893
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
170788 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
161536 (Kentucky)
Definition
Definition to come...
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