Individual
BENA BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 STANIFORD ST, BOSTON, MA 02114-2503
(978) 728-2659
Mailing address
25 STANIFORD ST, BOSTON, MA 02114-2503
(978) 728-2659
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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