Individual
SANDRA K BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC LCPC
Contact information
Practice address
221 S BROADWAY ST, SUITE 410, WICHITA, KS 67202-4228
(316) 350-7813
Mailing address
221 S BROADWAY ST, SUITE 410, WICHITA, KS 67202-4228
(316) 350-7813
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
329
KS
101YP2500X
Professional Counselor
824
KS
Other
Enumeration date
12/01/2005
Last updated
07/02/2013
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