Individual
LAUREN ELIZABETH BERGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
311 HARRISON ST, GRAND LEDGE, MI 48837-1577
(517) 338-3090
(517) 338-3090
Mailing address
1207 W KALAMAZOO ST, LANSING, MI 48915-1621
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401017647
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6401017647
—
MI
Enumeration date
03/17/2018
Last updated
06/06/2023
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