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General NPI Number Information
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NPI Number | 1679496749
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Entity Type | Organization
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Legal Business Name | RENEE BERGIN LPC LLC
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 3600 ROUTE 66 STE 150
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City | TINTON FALLS
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State | NJ
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Zip | 07753-2645
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Country | US
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Telephone | 732-779-7307
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Fax |
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Provider Business Mailing Address
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Address Line | 1907 GREVE AVE APT I
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City | SPRING LAKE
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State | NJ
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Zip | 07762-2356
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Country | US
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Telephone | 732-779-7307
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RENEE BERGIN
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Credential | LPC
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Telephone | 732-779-7307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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