Individual
RANCE A BERRY II II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, CSOTS
Contact information
Practice address
1219 OHIO AVE, DUNBAR, WV 25064-3019
(866) 308-2307
(855) 314-6877
Mailing address
1021 QUARRIER ST, STE 414, CHARLESTON, WV 25301-2338
(304) 340-3676
(304) 340-3688
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2132
WV
Other
Enumeration date
08/13/2014
Last updated
07/29/2015
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