Penelope Bergeron Counseling | |
212 S Main St Ste 201 Spanish Fork UT 84660-5738 | |
(385) 202-4089 | |
(801) 877-9216 |
Full Name | Penelope Bergeron Counseling |
---|---|
Speciality | Social Worker - Clinical |
Location | 212 S Main St Ste 201, Spanish Fork, Utah |
Authorized Official Name and Position | Penelope Lynn Bergeron (OWNER) |
Authorized Official Contact | 8013187037 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Penelope Bergeron Counseling 5702 W 10770 N Highland UT 84003-9087 Ph: (801) 318-7037 | Penelope Bergeron Counseling 212 S Main St Ste 201 Spanish Fork UT 84660-5738 Ph: (385) 202-4089 |
NPI Number | 1275110769 |
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Provider Enumeration Date | 03/29/2021 |
Last Update Date | 03/29/2021 |
Certification Date | 03/29/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275110769 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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