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Stephanie A Berry, Med

Counselor, Addiction (Substance Use Disorder) in Hartford, CT. Individual provider (NPI-1).

NPI number1982251815
StatusActive
Last updated in NPPESAug 26, 2019

Details

NPI
1982251815
Entity type
Individual (NPI-1)
Name
Stephanie A Berry
Credential
Med
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 26, 2019
Last updated
Aug 26, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

55 Fishfry St
Hartford, CT 06120-1203

Phone 860-247-8300

Mailing address

55 Fishfry St
Hartford, CT 06120-1203

Phone 860-508-3921

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