| Kevin R Bergeron, SUDPT | |
|
1703 Douglas Ct, Milton, WA 98354-9727 | |
| (360) 888-7087 | |
| Not Available |
| Full Name | Kevin R Bergeron |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1703 Douglas Ct, Milton, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700527280 | NPI | - | NPPES |
| 2077844 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CO61275243 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin R Bergeron, SUDPT 500 Se Washington Ave, Chehalis, WA 98532-3058 Ph: (360) 748-4776 | Kevin R Bergeron, SUDPT 1703 Douglas Ct, Milton, WA 98354-9727 Ph: (360) 888-7087 |
Florence Nwaobi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7224 Pacific Hwy E, Milton, WA 98354 Phone: 253-205-0175 | |
James Mbuthia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7224 Pacific Hwy E, Milton, WA 98354 Phone: 253-205-0175 | |
Ms. Christine Marie Mandry, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2763 Comet St, Milton, WA 98354 Phone: 253-234-5132 | |
Sierra Hodge-finch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7224 Pacific Hwy E, Milton, WA 98354 Phone: 253-220-6183 | |
Makaira Lebo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7224 Pacific Hwy E, Milton, WA 98354 Phone: 253-205-0175 | |
Marsha Dickerson, RECOVERY SPECIALIST Counselor Medicare: Not Enrolled in Medicare Practice Location: 7224 Pacific Hwy E, Milton, WA 98354 Phone: 253-220-6183 | |
Jaylund Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7224 Pacific Hwy E, Milton, WA 98354 Phone: 253-220-6183 |