Individual
JOHN F BERTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LCSW
Contact information
Practice address
1300 E BRADFORD PKWY, BURRELL BEHAVIORAL HEALTH, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002984
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498215425
—
MO
Enumeration date
07/28/2005
Last updated
03/21/2019
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