Individual provider · Type 1 NPI

Richard Berg

Mental Health Counselor · Mesa, AZ

NPI number 1104666452 Active

Practice location

4115 E Valley Auto Dr Ste 104
Mesa, AZ 85206-4610

Map

Mailing address

8638 E Roanoke Ave
Scottsdale, AZ 85257-1841

Other practice locations

  • 4115 E Valley Auto Dr Ste 104, Mesa, AZ 85206-4610
  • 4115 E Valley Auto Dr, Mesa, AZ 85206-4606 · (207) 356-8933
  • 4115 E Valley Auto Dr Ste 104, Mesa, AZ 85206-4610

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLMSW-22181 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1104666452

Richard Berg's National Provider Identifier is 1104666452, issued on May 24, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mesa, AZ. The record was last updated on May 24, 2024.