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Mr. Dominick S Berg, PC
Counselor in Ontario, Ohio
NPI 1932525201

Dominick S Berg is a Counselor based in Ontario, OH. Dominick S Berg practices in Ontario, OH and has the professional credentials of PC. The NPI Number for Dominick S Berg is 1932525201 and holds a License No. (Ohio).

The current practice location address for Dominick S Berg is 1404 Park Ave W Ste 2, Ontario, OH and can be reached out via phone at 419-522-6191.

Location: 1404 Park Ave W Ste 2, Ontario, OH, 44906-2719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932525201
Provider Name
Dominick S Berg
Credential
PC
Provider Entity Type
Individual
Gender
Male
Address
1404 Park Ave W Ste 2, Ontario, OH, 44906-2719
Phone Number
419-522-6191
Fax Number
Provider Enumeration Date
03/11/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0297823 05 OH
institution
Provider Business Practice Location Address Details
Address
1404 Park Ave W Ste 2
City
Ontario
State
Ohio
Zip
44906-2719
Phone Number
419-522-6191
Fax Number
person
Provider Business Mailing Address Details
Address
1404 Park Ave W Ste 2
City
Ontario
State
Ohio
Zip
44906-2719
Phone Number
419-522-6191
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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