Individual
JOHN BERTANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
4221 MAYFAIR ST STE 202, MYRTLE BEACH, SC 29577-5757
(843) 446-1038
Mailing address
9676 EADDY LN, MURRELLS INLET, SC 29576-9744
(843) 446-1038
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
7521
SC
101YP2500X
Professional Counselor
Primary
7521
SC
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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