Nicole Theresa Berg VI, LICSW

NPI #1982321865 in Destin, Florida

Provider Information

NPI Number: 1982321865
Entity Type: Individual
Name: Nicole Theresa Berg VI, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LICSW
Enumeration Date: Oct 21, 2022
Last Updated: Oct 21, 2022

Practice Location

Address: 301 CORINTHIAN PL
City: Destin
State: Florida
ZIP Code: 32541-5338
Phone: (210) 784-0397

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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