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Individual
MR. JOHN BERBERICH IV
Active
Individual
MR. JOHN BERBERICH IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RADT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00-85-020-0517
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639450935
AETNA
CA
05
—
1639450935
—
CA
Enumeration date
06/21/2017
Last updated
06/16/2018
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