Individual
MITCHELL BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PLMHP
Contact information
Practice address
13906 GOLD CIR STE 202, OMAHA, NE 68144-2336
(402) 932-6500
Mailing address
13906 GOLD CIR STE 202, OMAHA, NE 68144-2336
(402) 932-6500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12192
NE
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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