Jeremy J Berry, LPC
Counselor, Professional in Plainview, TX. Individual provider (NPI-1).
NPI number1104130202
StatusActive
Last updated in NPPESJul 30, 2010
Details
- NPI
- 1104130202
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jeremy J Berry
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 30, 2010
- Last updated
- Jul 30, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 64038 | TX | Yes |
Practice location
907 Zephyr StPlainview, TX 79072-6727
Phone 806-281-8400
Mailing address
907 Zephyr StPlainview, TX 79072-6727
Phone 806-281-8400
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