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Individual

MR. DAVID LEE BERRY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CACII

Contact information

Practice address
230 SOUTH JACKSON STREET, SUITE 228 & 229, ALBANY, GA 31701
(229) 449-2575
Mailing address
230 S. JACKSON STREET, SUITE 228 & 229, ALBANY, GA 31701

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
GA

Other

Enumeration date
11/12/2015
Last updated
11/12/2015
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