Individual
RICHARD BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4115 E VALLEY AUTO DR STE 104, MESA, AZ 85206-4610
Mailing address
8638 E ROANOKE AVE, SCOTTSDALE, AZ 85257-1841
(207) 356-8933
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-22181
AZ
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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