Berghuis, Deborah

Berghuis, Deborah is an sole proprietor health care provider with primary practice located at 3208 Lake Park Way Apt 302 , Longmont CO 80503-7804. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Berghuis, Deborah can be contacted via phone (937) 344-3939.

Contact Information

Primary practice address
3208 Lake Park Way Apt 302 Longmont CO 80503-7804
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X E.1800686 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC.0016707 Colorado

Profile Details

NPI number 1629316658
LBN Legal business name Berghuis, Deborah
Credentials PHD, LPC, LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2013
Last updated Sep 26th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629316658 NPPES
Ohio Other E.1800686 CSWMFT BOARD
Ohio Other LPC.0016707 CSWMFT BOARD
Ohio Other LPC.0016707 CSWMFT BOARD

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