Berger, Mark Wynn

Berger, Mark Wynn is an sole proprietor health care provider with primary practice located at 1002 Idaho St , Lewiston ID 83501-1938. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Berger, Mark Wynn can be contacted via phone (208) 746-7661.

Contact Information

Primary practice address
1002 Idaho St Lewiston ID 83501-1938
Phone: (208) 746-7661
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0660722707
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-26273 Idaho

Profile Details

NPI number 1720414634
LBN Legal business name Berger, Mark Wynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2013
Last updated Sep 24th, 2013 - about 12 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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