Individual
BILLY LEE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MARRIAGE FAMILY THER
Contact information
Practice address
332 3RD AVE, JASPER, IN 47546
(812) 634-9408
(812) 482-6712
Mailing address
332 3RD AVE, JASPER, IN 47546
(812) 634-9408
(812) 482-6712
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
33003623A
IN
Other
Enumeration date
03/26/2007
Last updated
10/28/2010
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