Clancy Bergold
Clancy Bergold is a Mental Health Counselor in Eugene, Oregon. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
5350 Donald StEugene, OR 97405-3529
Phone: (541) 505-8558
Fax: (541) 505-8558
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1396058467 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 19, 2010 |
| Last updated in NPPES | September 12, 2018 |
| Mailing address | 3587 Heathrow Way, Medford, OR 97504-4004 |
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