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Contact Information

JILL BERGEN
7900 W BURLEIGH ST
MILWAUKEE, WI53222-4917
 Phone: 262-598-1392
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for JILL BERGEN · (Female)

NPI # 1801245840
Status Active
Credentials
Entity Individual
Enumeration date 06/09/2016
Last updated 11/12/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • WI License # 16240-132
  • WI License # 6851-125
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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