Most Relevant Information
Provider Data
| NPI Number: | 1003562380 |
| Provider Name: | CLAYTON BERG MA, LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 178016449 |
Most Important Dates
| Enumeration Date: | 02/25/2022 |
| Last Updated: | 02/28/2022 |
Provider Practice Location
800 ROOSEVELT RD BLDG C
GLEN ELLYN
IL
601375839
Practice Location Phone/Fax
| Phone: | 6303732529 |
| Fax: |
Provider Mailing Location
800 ROOSEVELT RD BLDG C
GLEN ELLYN
IL
601375839
Provider Mailing Phone/Fax
| Phone: | 6303732529 |
| Fax: |