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Shannon Berg
Professional Counselor in Glen Burnie, Maryland
NPI 1093477739

Shannon Berg is a Professional Counselor based in Glen Burnie, MD and is specialized in Professional. Shannon Berg practices in Glen Burnie, MD. The NPI Number for Shannon Berg is 1093477739 and holds a License No. LGP11625 (Maryland).

The current practice location address for Shannon Berg is 7310 Ritchie Hwy Ste 100, Glen Burnie, MD and can be reached out via phone at 443-704-1082.

Location: 7310 Ritchie Hwy Ste 100, Glen Burnie, MD, 21061-3170
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093477739
Provider Name
Shannon Berg
Credential
Provider Entity Type
Individual
Gender
Female
Address
7310 Ritchie Hwy Ste 100, Glen Burnie, MD, 21061-3170
Phone Number
443-704-1082
Fax Number
Provider Enumeration Date
10/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7310 Ritchie Hwy Ste 100
City
Glen Burnie
State
Maryland
Zip
21061-3170
Phone Number
443-704-1082
Fax Number
person
Provider Business Mailing Address Details
Address
7310 Ritchie Hwy Ste 100
City
Glen Burnie
State
Maryland
Zip
21061-3170
Phone Number
443-704-1082
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LGP11625 (Maryland)
Definition
Definition to come...
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