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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEVIN R BERGERON, SUDPT

Active

KEVIN R BERGERON, SUDPT is a Addiction (Substance Use Disorder) Counselor healthcare provider located in MILTON, Washington. NPI 1700527280 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · MILTON, WA

Registration Details

NPI Number
1700527280
Provider Type
Individual
Gender
Male
NPI Issued
Apr 6, 2022 (4.3136204327453 yrs)
Last Updated
Aug 13, 2024
License
CO61275243 (WA)

Practice Information

Address
1703 DOUGLAS CT
MILTON, WA, 983549727
Browse WA providers · Browse ZIP 98354
Phone
3608887087
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.