Individual
STANLEY BRUCE BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.,CRC,CSAC
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
(808) 433-2460
Mailing address
1750 KALAKAUA AVE, HONOLULU, HI 96826-3754
(808) 277-9919
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LMH #56
HI
Other
Enumeration date
12/15/2005
Last updated
09/19/2007
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