Individual provider · Type 1 NPI
Mark James Oberg, MA, LPC, LAC
Mental Health Counselor · Boulder, CO
NPI number
1417299884
Active
Practice location
1333 Iris Ave
Boulder, CO 80304-2226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC.0011620 (CO) |
| Professional Counselor | 101YP2500X | LPC.0011620 (CO) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACD.0000477 (CO) |
Mental Health Counselor: Definition to come...
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About NPI 1417299884
Mark James Oberg, MA, LPC, LAC's National Provider Identifier is 1417299884, issued on Mar 22, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boulder, CO. The record was last updated on Sep 11, 2014.