Individual provider · Type 1 NPI

Jackie Marie Berge

Mental Health Counselor · Olympia, WA

NPI number 1124632518 Active

Practice location

3436 Mary Elder Rd NE
Olympia, WA 98506-5050

Call (360) 528-2590 Map

Mailing address

3336 Long Lake Dr SE
Olympia, WA 98503-4048

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XRN00053908 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1124632518

Jackie Marie Berge's National Provider Identifier is 1124632518, issued on Sep 2, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Olympia, WA. The record was last updated on Sep 2, 2020.