Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Omie Bergquist, R15730824

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1831910884

Omie Bergquist, R15730824 is an Addiction (Substance Use Disorder) Counselor in Rancho Mirage, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

69730 Highway 111 Ste 109
Rancho Mirage, CA 92270-2873
Phone: (760) 322-1777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence R1573930824 (CA)

Record details

NPI number1831910884
Entity typeIndividual (Type 1)
GenderFemale
Credentials R15730824
Sole proprietorYes
NPI enumeratedOctober 22, 2024
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024

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