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Renae Ann Berg, LADC
Addiction (Substance Use Disorder) Counselor in Mora, Minnesota
NPI 1184228009

Renae Ann Berg is an Addiction (Substance Use Disorder) Counselor based in Mora, MN and is specialized in Addiction (Substance Use Disorder). Renae Ann Berg practices in Mora, MN and has the professional credentials of LADC. The NPI Number for Renae Ann Berg is 1184228009 and holds a License No. 301066 (Minnesota).

The current practice location address for Renae Ann Berg is 206 Maple Ave E, Mora, MN and can be reached out via phone at 132-067-9358 and via fax at 320-679-3579.

Location: 206 Maple Ave E, Mora, MN, 55051-1311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184228009
Provider Name
Renae Ann Berg
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
206 Maple Ave E, Mora, MN, 55051-1311
Phone Number
132-067-9358
Fax Number
320-679-3579
Provider Enumeration Date
11/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
206 Maple Ave E
City
Mora
State
Minnesota
Zip
55051-1311
Phone Number
132-067-9358
Fax Number
320-679-3579
person
Provider Business Mailing Address Details
Address
206 Maple Ave E
City
Mora
State
Minnesota
Zip
55051-1311
Phone Number
132-067-9358
Fax Number
320-679-3579
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
301066 (Minnesota)
Definition
Definition to come...
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