Individual
JACQUELINE LEIGH BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, M.A., LMFT
Contact information
Practice address
585 UNION AVE, #7A, LACONIA, NH 03246
(603) 387-1523
(815) 642-0356
Mailing address
585 UNION AVE, #5, LACONIA, NH 03246
(603) 387-1523
(815) 642-0356
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
137
NH
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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