Bergeron Ingram, Danielle Rae

Bergeron Ingram, Danielle Rae is an sole proprietor health care provider with primary practice located at 78 S Main St , Rutland VT 05701-4591. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bergeron Ingram, Danielle Rae can be contacted via phone (802) 775-0828.

Contact Information

Primary practice address
78 S Main St Rutland VT 05701-4591
Phone: (802) 775-0828
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 047.0111914 Vermont

Profile Details

NPI number 1669877452
LBN Legal business name Bergeron Ingram, Danielle Rae
Credentials LPC, M.S., QDDP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2014
Last updated Dec 21st, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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