Individual
DANITA RACHEL BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1517 HIGHWAY 13 E, BURNSVILLE, MN 55337-2917
(952) 890-8879
(952) 890-8920
Mailing address
1517 HIGHWAY 13 E, BURNSVILLE, MN 55337-2917
(952) 890-8879
(952) 890-8920
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302686
MN
Other
Enumeration date
06/21/2017
Last updated
03/17/2018
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