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Individual
MARK JAMES OBERG
Active
Individual
MARK JAMES OBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC, LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0000477
CO
101YM0800X
Mental Health Counselor
Primary
LPC.0011620
CO
101YP2500X
Professional Counselor
LPC.0011620
CO
Other
Enumeration date
03/22/2013
Last updated
09/11/2014
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