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Organization
DENE S BERMAN LIFESPAN COUNSELING ASSOCIATES
Active
Organization
DENE S BERMAN LIFESPAN COUNSELING ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARI BOONE (OFFICE MANAGER)
(937) 426-2079
Entity
Organization
Contact information
Practice address
1195 MEADOW BRIDGE DR STE B, BEAVERCREEK, OH 45434-4302
(937) 426-2079
(937) 426-0211
Mailing address
PO BOX 340398, BEAVERCREEK, OH 45434-0398
(937) 426-2079
(937) 426-0211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
02/21/2007
Last updated
07/23/2008
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