Individual
GEORGIA LEE BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFTA, LMHCA
Contact information
Practice address
6627 CAROLINA ST SE, LACEY, WA 98513-5227
(360) 790-3882
Mailing address
6627 CAROLINA ST SE, LACEY, WA 98513-5227
(360) 790-3882
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG61228444
WA
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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