Individual
SUSAN BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
662 N NEW BALLAS RD, CREVE COEUR, MO 63141-6737
(314) 503-6966
(314) 993-0777
Mailing address
662 N NEW BALLAS RD, CREVE COEUR, MO 63141-6737
(314) 503-6966
(314) 993-0777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/28/2012
Last updated
05/17/2014
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