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Individual
CONSTINA BERRY
Active
Individual
CONSTINA BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1113
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1113
LICENSE
DC
01
—
23349
CHARTERED HEALTH (MCO)
DC
01
—
287814
AMERIGROUP(MEDICAID MCO)
DC
01
—
5237
HEALTHRIGHT (MEDICAID MCO
DC
05
—
53347827
—
DC
Enumeration date
02/13/2007
Last updated
04/21/2025
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