Individual
MS. JEANETTE LATISE BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12207 DAVENTRY CIR, GREER, SC 29650-2256
(864) 361-5513
Mailing address
12207 DAVENTRY CIR, GREER, SC 29650-2256
(864) 361-5513
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301100
—
SC
Enumeration date
02/08/2016
Last updated
10/30/2023
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