Individual
MR. KENT DOUGLAS BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDIV, MA, LMFT
Contact information
Practice address
836 W LEXINGTON AVE, HIGH POINT, NC 27262-7481
(336) 505-5484
(336) 505-5483
Mailing address
4332 GRASSY MOSS DR, GREENSBORO, NC 27409-9702
(336) 505-5484
(336) 505-5483
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1147
NC
Other
Enumeration date
10/14/2006
Last updated
12/16/2018
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