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Individual
JOELLE C G BERRESFORD
Active
Individual
JOELLE C G BERRESFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA, PRS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.186366
OH
175T00000X
Peer Specialist
APS.003332
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008327
—
OH
Enumeration date
01/19/2023
Last updated
11/09/2023
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