Individual
MATTHEW BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5900 US ROUTE 60, SUITE B, ASHLAND, KY 41102-9508
(606) 393-5586
Mailing address
5900 US ROUTE 60, SUITE B, ASHLAND, KY 41102-9508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1773
KY
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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