Individual
LAURA BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
53585 NOKOMIS RD, ASHLAND, WI 54806-4272
(715) 682-7137
Mailing address
1600 S PRAIRIE AVE, FAIRMONT, MN 56031-3100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16044-132
WI
Other
Enumeration date
11/02/2013
Last updated
06/05/2024
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