| Doctor Name: | CHRISTEN BERGERON |
| NPI Number: | 1083002455 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS |
| License Number: | 1625 |
| Business Practice Address: | 1132 28th Ave S Suite 102 Moorhead, MN - 565604420 |
| Business Phone Number: | 2184226119 |
| Business Fax Number: | 2182275377 |
| Mailing Address: | 1132 28th Ave S, Suite 102 MOORHEAD |
| State: | MN |
| Postal Code: | 565604420 |
| Phone Number: | 2184226119 |
| Fax Number: | 2182275377 |
| NPI Enumeration Date: | 01/07/2015 |
| NPI Last Update Date: | 01/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1625 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |