Individual
MARIA LAINA BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
104 S 4TH ST, OLIVIA, MN 56277-1589
(320) 400-0001
(320) 523-3535
Mailing address
104 S 4TH ST, OLIVIA, MN 56277-1589
(320) 400-0001
(320) 523-3535
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301549
MN
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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