Provider Demographics
NPI:1649488669
Name:BERKEL, KIER ANDREW (NCC, LPCMH)
Entity type:Individual
Prefix:MR
First Name:KIER
Middle Name:ANDREW
Last Name:BERKEL
Suffix:
Gender:M
Credentials:NCC, LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-4761
Mailing Address - Country:US
Mailing Address - Phone:302-740-8996
Mailing Address - Fax:
Practice Address - Street 1:136 7TH AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-4761
Practice Address - Country:US
Practice Address - Phone:302-740-8996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE0000320101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional