Individual
MARY ELLEN RAE BERTLING-SAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1034 LOOKOUT RDG, MESQUITE, NV 89034-1195
(616) 920-0823
(866) 721-6199
Mailing address
1034 LOOKOUT RDG, MESQUITE, NV 89034-1195
(616) 920-0823
(866) 721-6199
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401007799
MI
101Y00000X
Counselor
CP1132
NV
101YP2500X
Professional Counselor
Primary
6401007799
MI
101YP2500X
Professional Counselor
CP1132
NV
Other
Enumeration date
06/17/2008
Last updated
02/03/2023
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