IndividualActive
Charles Bergeson, LAC
NPI 1174963318 · Addiction (Substance Use Disorder) Counselor · Fargo, ND
Provider details
- NPI number
- 1174963318
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LAC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Practice location
2624 9th Ave S
Fargo, ND 58103-2350
Phone: (701) 298-4500
Fax: (701) 298-4400
Approximate (ZIP-level) locationGet directions
Mailing address
2624 9th Ave S
Fargo, ND 58103-2350
Registry dates
- Enumerated
- 2013-07-02
- Last updated
- 2020-08-26
- Certified
- 2020-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.