Julie Berg
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Boardman, OH
NPI 1861928129 · NPPES record last updated May 5, 2017
Key facts
- NPI
- 1861928129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CDCA.120031 (OH)
- Practice address
- 960 Boardman Canfield Rd
Boardman, OH 44512-4220 - Phone
- (330) 953-3300
- NPI assigned
- May 5, 2017
- 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 |
|---|---|---|---|
| CDCA.120031 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.120031 | OH | Yes |
Addresses
Primary practice location
960 Boardman Canfield Rd
Boardman, OH 44512-4220
Mailing address
960 Boardman Canfield Rd
Boardman, OH 44512-4220
Other providers in Boardman, OH
- Scott Benedict Beichner
- Jessica Beil
- Linda Sue Beilstein
- Deanna Marie Bellville
- Michele Benedict
- Marshall Hunter Berkeley
- Kathleen Berlin
- Carly Jeanne Berlon
- John Raymond Bernat
- Emily Best
All providers in Boardman, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2017. 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.