Search › Montana › 101YA0400X
Jesse Bergren, LAC
NPI 1699185322 · on the registry since 2014
Practice
- Address
- 332 2nd Ave
Havre, MT 59501 - Phone
- (406) 399-1757
- Organisation at this address
- Bear Paw Recovery Center
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- MT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana