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Individual
LARRY STEWART BERGER
Active
Individual
LARRY STEWART BERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
18881
NC
101YP2500X
Professional Counselor
Primary
PC003529
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001882137
MANAGED CARE VENDOR NUMBE
PA
Enumeration date
11/27/2006
Last updated
09/13/2024
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