Healthcare Provider Details

I. General information

NPI: 1477680668
Provider Name (Legal Business Name): CAROLE BERGEN & ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9814 HARBORVIEW PL
GIG HARBOR WA
98332-1018
US

IV. Provider business mailing address

9814 HARBORVIEW PL
GIG HARBOR WA
98332-1018
US

V. Phone/Fax

Practice location:
  • Phone: 253-853-5800
  • Fax: 253-858-5430
Mailing address:
  • Phone: 253-853-5800
  • Fax: 253-858-5430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLF00001753
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLF00001753
License Number StateWA

VIII. Authorized Official

Name: DR. CAROLE BERGEN
Title or Position: PRESIDENT
Credential: MARRIAGE & FAMILY TH
Phone: 253-853-5800