Individual
RITA BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1973 J N PEASE PL, SUITE 201, CHARLOTTE, NC 28262-4547
(704) 394-8949
(704) 393-3360
Mailing address
1973 J N PEASE PL, SUITE 201, CHARLOTTE, NC 28262-4547
(704) 394-8949
(704) 393-3360
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4480
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102353
—
NC
Enumeration date
02/09/2007
Last updated
12/10/2012
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