Individual
COLYN BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, APSW, SAC-IT
Contact information
Practice address
205 5TH AVE S STE 508, LA CROSSE, WI 54601-4059
(608) 387-9638
Mailing address
505 E OLSON ST, BLAIR, WI 54616-9307
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20459-130
WI
104100000X
Social Worker
Primary
135215-121
WI
104100000X
Social Worker
6851119332
MI
405300000X
Prevention Professional
17013-137
WI
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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