Provider Demographics
NPI:1609916907
Name:BERGE, CHERYL SUE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:SUE
Last Name:BERGE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:SUE
Other - Last Name:SANDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1342
Mailing Address - Street 2:
Mailing Address - City:MAGALIA
Mailing Address - State:CA
Mailing Address - Zip Code:95954-1342
Mailing Address - Country:US
Mailing Address - Phone:530-624-2473
Mailing Address - Fax:
Practice Address - Street 1:15 ILAHEE LN STE 100
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-7205
Practice Address - Country:US
Practice Address - Phone:530-624-2473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 30703106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist