Individual
KRISTEN BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
555 W CUSTER AVE, HELENA, MT 59602-0220
(406) 324-1323
Mailing address
3240 DREDGE DR, HELENA, MT 59602-0548
(406) 324-1323
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-34561
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BBH-LCSW-LIC-34561
—
MT
Enumeration date
02/07/2019
Last updated
02/07/2019
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