Individual
CHARISSE MICHAEL BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 OLD BRICK RD, GLEN ALLEN, VA 23060-5841
(804) 605-8326
Mailing address
5433 PARKER ST, RICHMOND, VA 23231-3731
(804) 943-5935
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0704013788
VA
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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