Provider Demographics
NPI:1447406418
Name:BERGER, SYLVIA (MA, LPC, LAC, LCMHA)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:BERGER
Suffix:
Gender:F
Credentials:MA, LPC, LAC, LCMHA
Other - Prefix:
Other - First Name:SYLVIA
Other - Middle Name:
Other - Last Name:PINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:55377 E 41ST AVE
Mailing Address - Street 2:
Mailing Address - City:STRASBURG
Mailing Address - State:CO
Mailing Address - Zip Code:80136-7402
Mailing Address - Country:US
Mailing Address - Phone:720-278-0116
Mailing Address - Fax:
Practice Address - Street 1:100 N HOWARD ST STE W
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0508
Practice Address - Country:US
Practice Address - Phone:720-446-8144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-11
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD.0001066101YA0400X
COLPC.0018851101YM0800X
WAMC61511807101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)