| NPI | 1386314318 | 
|---|---|
| Other Name | CORY MATTHEW BERBERICH | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.016633) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional | 
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-09-20 | 
| Last Update Date | 2025-08-21 |