Individual
BRIAN L BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
616 SE CENTRAL PKWY, STUART, FL 34994-3970
(772) 320-5885
Mailing address
616 SE CENTRAL PKWY, STUART, FL 34994-3970
(561) 818-8054
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH12885
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH12885
LICENSED MENTAL HEALTH COUNSELOR
FL
Enumeration date
01/08/2019
Last updated
01/08/2019
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