Individual
LASHAITREND BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
408 FLOYD ST, BUNKIE, LA 71322-1604
(318) 613-6015
Mailing address
408 FLOYD ST, BUNKIE, LA 71322-1604
(318) 613-6015
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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