Individual
MR. BRIAN LEE BERNINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
579 PARK LN, MADISON, WI 53711-1653
(608) 232-1464
Mailing address
579 PARK LN, MADISON, WI 53711-1653
(608) 232-1464
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
193-226
WI
Other
Enumeration date
03/20/2009
Last updated
03/20/2009
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