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Individual

MS. MARY RUTH BERREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
20 W BANK ST, SUITE 6, PETERSBURG, VA 23803-3279
(804) 862-8002
Mailing address
17450 INTERSTATE LN, PO BOX 97, DEWITT, VA 23840-3047
(804) 469-4924

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002479
VA
101YP2500X
Professional Counselor
0710001171
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
087505
SENTARA
VA
01
204316
ANTHEM
VA
Enumeration date
06/13/2006
Last updated
08/11/2023
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