Individual
JOEL BERSHOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
14 7TH AVE N STE 131, SAINT CLOUD, MN 56303-4753
(320) 460-1664
Mailing address
3063 12TH AVE N, SARTELL, MN 56377-4833
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
25112
MN
Other
Enumeration date
01/29/2007
Last updated
07/06/2023
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