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Individual

PRESTON EUGENE BERRY

Active
Find providers by NPI
Individual

PRESTON EUGENE BERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
IADC & CRADC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11618-1121
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21R028
IA
101YA0400X
Addiction (Substance Use Disorder) Counselor
37377
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
7544
TX

Other

Enumeration date
09/17/2008
Last updated
05/13/2022
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