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NPI Code Detail

MEDICARE: KAYLA MARIE BERGEN

MEDICARE:   KAYLA MARIE BERGEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1912853326
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA MARIE BERGEN
Provider Business Mailing Address
First Line : 421 ZANG ST
Second Line :
City : LAKEWOOD
State : CO
Zip : 80228-1052
Country : US
Telephone Number : 303-425-0300
Fax Number :
Provider Business Practice Location Address
First Line : 421 ZANG ST
Second Line :
City : LAKEWOOD
State : CO
Zip : 80228-1052
Country : US
Telephone Number : 303-425-0300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ KAYLA MARIE BERGEN ” Practice Location

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