Individual
MRS. TRAVIS MANNING BERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT, LCASA
Contact information
Practice address
132 POPLAR GROVE CONNECTOR, SUITE # B, BOONE, NC 28607-5915
(828) 264-8759
(828) 268-0201
Mailing address
284 EXECUTIVE PARK DRIVE, SUITE 100, CONCORD, NC 28025-1894
(704) 939-1100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
3321-A
NC
106H00000X
Marriage & Family Therapist
Primary
1606
NC
Other
Enumeration date
12/05/2011
Last updated
07/28/2015
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