Kent D Berry, LPC
Counselor, Professional in Marietta, OH. Individual provider (NPI-1).
NPI number1477068484
StatusActive
Last updated in NPPESDec 13, 2017
Details
- NPI
- 1477068484
- Entity type
- Individual (NPI-1)
- Name
- Kent D Berry
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2017
- Last updated
- Dec 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | C.1700781 | OH | Yes |
Practice location
207d Colegate DrMarietta, OH 45750-2363
Phone 740-376-0930 · Fax 740-376-0933
Mailing address
207d Colegate DrMarietta, OH 45750-2363
Phone 740-376-0930 · Fax 740-376-0933
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