Individual
JASON MICHAEL BERVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
2118 BLAISDELL AVE, MINNEAPOLIS, MN 55404-2415
(651) 204-3131
Mailing address
2118 BLAISDELL AVE, MINNEAPOLIS, MN 55404-2415
(651) 204-3131
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306612
MN
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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