Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 15493 | WI |
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 15397-132 | WI |
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 15493 | WI |
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 302724 | MN |
Y | 1041C0700X | Clinical Social Worker | 22382 | MN |
N | 1041C0700X | Clinical Social Worker | 8362-123 | WI |
NPI | 1003085333 |
---|---|
Provider Name | Carmen C Berzinski |
First Address | Winona, MN 55987-5532 |
Second Address | Winona, MN 55987-5532 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2008 |
Last Update Date | 29/03/2017 |