Berg, Kelly C

Berg, Kelly C is an individual health care provider with primary practice located at 2230 Como Ave , Saint Paul MN 55108-1720. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Berg, Kelly C can be contacted via phone (612) 804-2120.

Contact Information

Primary practice address
2230 Como Ave Saint Paul MN 55108-1720
Phone: (612) 804-2120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 5595 Minnesota

Profile Details

NPI number 1649610270
LBN Legal business name Berg, Kelly C
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2013
Last updated Jun 27th, 2013 - 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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