Individual provider · Type 1 NPI

Logan F. Berg

Mental Health Counselor · Bloomington, IL

NPI number 1306789433 Active

Practice location

108 W Market St
Bloomington, IL 61701-3918

Fax (309) 829-6808

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1306789433

Logan F. Berg's National Provider Identifier is 1306789433, issued on Apr 13, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomington, IL. The record was last updated on Apr 13, 2026.