Individual
LEWIS BERRY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
51 N MAIN ST UNIT 2C2, SOUTHINGTON, CT 06489-2537
(860) 748-3287
Mailing address
51 N MAIN ST UNIT 2C2, SOUTHINGTON, CT 06489-2537
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
002304
CT
Other
Enumeration date
01/06/2020
Last updated
10/27/2021
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