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General NPI Number Information
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NPI Number | 1134647092
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Entity Type | Organization
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Legal Business Name | CAROL BERGER PROFESSIONAL COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 08/31/2017
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Last Update Date | 08/31/2017
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Provider Practice Location Address
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Address Line | 120 W EXCHANGE ST STE 201
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City | OWOSSO
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State | MI
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Zip | 48867-2834
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Country | US
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Telephone | 989-445-0011
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Fax |
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Provider Business Mailing Address
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Address Line | 1623 E 6 MILE CREEK RD
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City | OWOSSO
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State | MI
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Zip | 48867-9089
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Country | US
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Telephone | 989-445-0011
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAROL BERGER
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Credential | MA, LLPC
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Telephone | 989-445-0011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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