Individual
KELLI BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
523 E BROADWAY ST, LEWISTOWN, MT 59457-1902
(406) 707-0233
Mailing address
PO BOX 603, LEWISTOWN, MT 59457-0603
(406) 707-0233
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-37277
MT
Other
Enumeration date
03/01/2019
Last updated
10/02/2024
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