Berge, Emily K

Berge, Emily K is an individual health care provider with primary practice located at 1738 Brackett Ave , Eau Claire WI 54701-4626. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Berge, Emily K can be contacted via phone (715) 864-6386.

Contact Information

Primary practice address
1738 Brackett Ave Eau Claire WI 54701-4626
Phone: (715) 864-6386
Fax: (715) 514-2116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4108-125 Wisconsin

Profile Details

NPI number 1467605824
LBN Legal business name Berge, Emily K
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2008
Last updated Oct 23rd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467605824 NPPES
Wisconsin MEDICAID 42245100

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