Individual
EMILY K BERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1738 BRACKETT AVE, EAU CLAIRE, WI 54701-4626
(715) 864-6386
(715) 514-2116
Mailing address
1738 BRACKETT AVE, EAU CLAIRE, WI 54701-4626
(715) 864-6386
(715) 514-2116
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4108-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42245100
—
WI
Enumeration date
10/29/2008
Last updated
10/23/2015
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