Individual
MADDISON M BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1600 UNIVERSITY AVE W STE 12, SAINT PAUL, MN 55104-3952
(651) 233-1481
Mailing address
3359 WARNER LN, MOUND, MN 55364-9261
(952) 649-0461
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC03575
MN
Other
Enumeration date
10/13/2021
Last updated
04/15/2025
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