Stephanie R Berg, LPC-IT, SAC-IT, SW
Counselor, Professional in Janesville, WI. Individual provider (NPI-1).
NPI number1962870360
StatusActive
Last updated in NPPESSep 2, 2015
Details
- NPI
- 1962870360
- Entity type
- Individual (NPI-1)
- Name
- Stephanie R Berg
- Credential
- LPC-IT, SAC-IT, SW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 2, 2015
- Last updated
- Sep 2, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 1843-226 | WI | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 16957-130 | WI | |
| 104100000X | Social Worker | 10714-120 | WI |
Practice location
20 E Court StJanesville, WI 53545-3919
Phone 608-741-2117 · Fax 608-758-5761
Mailing address
20 E Court StJanesville, WI 53545-3919
Phone 608-741-2117 · Fax 608-758-5761
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