Individual
DAVID BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
113 PENDRAGON WAY, MANTUA, NJ 08051-2218
(856) 332-3003
Mailing address
113 PENDRAGON WAY, MANTUA, NJ 08051-2218
(856) 332-3003
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00536100
NJ
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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