Individual
TASHUA BERRY DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LPC
Contact information
Practice address
1316 NOBLE ST, ANNISTON, AL 36201-4643
(256) 236-0221
Mailing address
308 WILSON DR SW, JACKSONVILLE, AL 36265-2752
(256) 225-8769
(256) 467-8086
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3488
AL
1041C0700X
Clinical Social Worker
Primary
5088C
AL
Other
Enumeration date
06/09/2016
Last updated
01/04/2024
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