Individual
MR. KENNETH G BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
762 THE PARKWAY ST, JACKSON, MI 49203-3919
(517) 787-9078
Mailing address
762 THE PARKWAY ST, JACKSON, MI 49203-3919
(517) 787-9078
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401007425
MI
Other
Enumeration date
11/20/2007
Last updated
12/03/2007
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