Individual
STEPHANIE R BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT, SAC-IT, SW
Contact information
Practice address
20 E COURT ST, JANESVILLE, WI 53545-3919
(608) 741-2117
(608) 758-5761
Mailing address
20 E COURT ST, JANESVILLE, WI 53545-3919
(608) 741-2117
(608) 758-5761
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16957-130
WI
101YP2500X
Professional Counselor
Primary
1843-226
WI
104100000X
Social Worker
10714-120
WI
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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