Individual
BRADLEY C BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
52 PAVILION CIR, MACKS CREEK, MO 65786-8361
(573) 286-5625
Mailing address
52 PAVILION CIR, MACKS CREEK, MO 65786-8361
(573) 286-5625
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
NONE
MO
101YP2500X
Professional Counselor
Primary
NONE
MO
Other
Enumeration date
09/17/2024
Last updated
10/08/2025
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