Individual
MRS. HEATHER L TETEAK-BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, NCC, CCTP
Contact information
Practice address
2244 95TH ST UNIT 218, NAPERVILLE, IL 60564-8033
(630) 677-1849
(630) 717-1165
Mailing address
2244 95TH ST UNIT 218, NAPERVILLE, IL 60564-8033
(630) 677-1849
(630) 717-1165
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-000428
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232187
BLUE CROSS BLUE SHIELD
IL
01
—
180-000428
LCPC
IL
01
—
211652
EVERGREEN CERTIFICATIONS--CERTIFIED CLINICAL TRAUMA PROFESSIONAL
—
01
—
28872
NCC
IL
01
—
S-1163
ASSOCIATION FOR PLAY THERAPY
—
Enumeration date
06/27/2007
Last updated
04/13/2022
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