Individual
JOHN BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
109 S BULLARD ST, SILVER CITY, NM 88061-5313
(575) 519-2629
Mailing address
109 S BULLARD ST, SILVER CITY, NM 88061-5313
(575) 519-2629
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0148451
NM
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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