Search › Minnesota › 101YA0400X
Renae Berg, LADC
NPI 1184228009 · on the registry since 2020 · sole proprietor
Practice
- Address
- 206 Maple Ave E
Mora, MN 55051 - Phone
- (132) 067-9358
- Fax
- (320) 679-3579
- Organisation at this address
- Serenity Manor
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-11-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota