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Hazel Berry

Counselor, Mental Health in Brookings, OR. Individual provider (NPI-1).

NPI number1184017444
StatusActive
Last updated in NPPESMar 11, 2015

Details

NPI
1184017444
Entity type
Individual (NPI-1)
Name
Hazel Berry
Sex
Female
Sole proprietor
No
Enumeration date
Mar 11, 2015
Last updated
Mar 11, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthC3692/ActiveORYes

Practice location

412 Alder St
Brookings, OR 97415-9014

Phone 541-813-2535 · Fax 541-813-2536

Mailing address

94235 Moore St Ste 121
Gold Beach, OR 97444-9704

Phone 541-813-2535 · Fax 541-813-2536

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