Individual provider · Type 1 NPI

Jody Dominique Berg, LPC

Mental Health Counselor · Midlothian, VA

NPI number 1194428649 Active

Practice location

10128 Hull Street Rd
Midlothian, VA 23112-3300

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0701012339 (VA)

Mental Health Counselor: Definition to come...

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About NPI 1194428649

Jody Dominique Berg, LPC's National Provider Identifier is 1194428649, issued on Mar 23, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Midlothian, VA. The record was last updated on Mar 23, 2023.