RUSSELL BERGTOLD
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1982266698
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | - |
Frequently Asked Questions
NPI 1982266698 is the National Provider Identifier for RUSSELL BERGTOLD, a Counselor - Addiction (Substance Use Disorder) provider located in East Hazel Crest, IL. This NPI was enumerated on July 2, 2019.
RUSSELL BERGTOLD practices at 1909 CHEKER SQ, East Hazel Crest, IL 60429.
Quick Facts
- NPI
- 1982266698
- Type
- Individual
- Enumerated
- Jul 2, 2019
- Last Updated
- Jul 2, 2019
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