Individual
CHRISTENE BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
68 MAIN ST, BUCKSPORT, ME 04416-4026
(207) 344-4134
Mailing address
68 MAIN ST, PO BOX 2002, BUCKSPORT, ME 04416-4026
(207) 344-4134
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC4160
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102140100
—
ME
Enumeration date
01/25/2007
Last updated
03/10/2011
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