Bergh, Frederick Douglas

Bergh, Frederick Douglas is an individual health care provider with primary practice located at 701 Antler Dr Ste 213 , Casper WY 82601-1726. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Bergh, Frederick Douglas can be contacted via phone (720) 484-1961.

Contact Information

Primary practice address
701 Antler Dr Ste 213 Casper WY 82601-1726
Phone: (720) 484-1961
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LAT-404 Wyoming
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-2038 Wyoming
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-2038 Wyoming

Profile Details

NPI number 1568940211
LBN Legal business name Bergh, Frederick Douglas
Credentials LPC, LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2018
Last updated Aug 7th, 2024 - about 2 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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