Individual
TIFFANY J BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SAC
Contact information
Practice address
2661 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 54729-5407
(715) 723-5585
Mailing address
807 JEFFERSON AVE, CHIPPEWA FALLS, WI 54729-1222
(715) 723-5585
(715) 726-3504
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15524-131
WI
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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