Individual
CAROL BERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
120 W EXCHANGE ST STE 201, OWOSSO, MI 48867-2834
(989) 445-0011
Mailing address
1623 E 6 MILE CREEK RD, OWOSSO, MI 48867-9089
(989) 445-0011
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401007644
MI
1041C0700X
Clinical Social Worker
020674084
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1462371
—
MI
Enumeration date
08/23/2016
Last updated
07/21/2022
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