Christene Berg, LADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Bucksport, ME
NPI 1467508325 · NPPES record last updated Mar 10, 2011
Key facts
- NPI
- 1467508325
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- LC4160 (ME)
- Practice address
- 68 Main St
Bucksport, ME 04416-4026 - Phone
- (207) 344-4134
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC4160 | ME | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LC4160 | ME | Yes |
Addresses
Primary practice location
68 Main St
Bucksport, ME 04416-4026
Mailing address
68 Main St
PO Box 2002
Bucksport, ME 04416-4026
Phone (207) 344-4134
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102140100 | Medicaid | ME |
Other providers in Bucksport, ME
- Autism Behavior Health Therapy LLC
- Lila Erazo Balch
- Sadie Helaine Beardsworth
- Craig Christopher Benson II
- Tina W Bentley
- Shubhrangshu Kumar Biswas
- Harvard Samuel Bridges
- Caitlin Brittelli
- Bucksport Physical Therapy, LLC
- Bucksport Regional Health Center
All providers in Bucksport, ME · Addiction (Substance Use Disorder) Counselor in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.